The nurse is assessing an elderly client who is 2 days postop abdominal surgery. The nurse recognizes alterations in the respiratory system of the elderly put the client at risk for:
A)
rib fractures.
B)
upper respiratory infections.
C)
increased vital capacity.
D)
pulmonary embolus.
B
Explanation:
A)
Decreased mobility of the rib cage, weaker respiratory muscles, and loss of elasticity increase the risk for respiratory infections secondary to inability to clear secretions. Rib fractures could occur with trauma. Vital capacity is decreased. A pulmonary embolus would be related to alterations in the cardiovascular system.
Assessment
Application
Physiological Integrity: Reduction of Risk Potential
B)
Decreased mobility of the rib cage, weaker respiratory muscles, and loss of elasticity increase the risk for respiratory infections secondary to inability to clear secretions. Rib fractures could occur with trauma. Vital capacity is decreased. A pulmonary embolus would be related to alterations in the cardiovascular system.
Assessment
Application
Physiological Integrity: Reduction of Risk Potential
C)
Decreased mobility of the rib cage, weaker respiratory muscles, and loss of elasticity increase the risk for respiratory infections secondary to inability to clear secretions. Rib fractures could occur with trauma. Vital capacity is decreased. A pulmonary embolus would be related to alterations in the cardiovascular system.
Assessment
Application
Physiological Integrity: Reduction of Risk Potential
D)
Decreased mobility of the rib cage, weaker respiratory muscles, and loss of elasticity increase the risk for respiratory infections secondary to inability to clear secretions. Rib fractures could occur with trauma. Vital capacity is decreased. A pulmonary embolus would be related to alterations in the cardiovascular system.
Assessment
Application
Physiological Integrity: Reduction of Risk Potential
You might also like to view...
The anatomy and physiology instructor is explaining a cell-mediated response to the pre-nursing students. What actions would the instructor explain occur in a cell-mediated response?
A) Toxins of invading antigens are neutralized. B) The invading antigens link together (agglutination). C) The invading antigens precipitate. D) T-cell lymphocytes survey proteins in the body and attack the invading antigens.
A preterm infant of 32 weeks is being started on formula. When planning care for her, you anticipate that the formula used most likely will be
A) diluted with glucose water. B) a 20 cal/oz formula. C) a 24 cal/oz formula. D) an iron supplemental formula.
What is the basic underlying pathology of diabetes mellitus?
a. Failure of insulin production or of insulin binding to its receptors b. Loss of the ability for insulin to convert body fat into carbohydrates or glucose c. Inability of pancreatic insulin to break down glycogen during periods of fasting d. Loss of the ability of pancreatic insulin to process carbohydrates for intestinal elimination, resulting in excessively high blood glucose levels
A patient with a brain tumor is having a diagnostic test to help determine response to therapy. This patient is most likely having a(n):
1. CT scan 2. PET scan 3. Angiogram 4. MRI