The nurse in a long-term care facility takes extra precaution in the approach to nursing care because the older adult is more prone to respiratory infection because of:

1. decreased ciliary action.
2. decreased physical activity.
3. inadequate hydration.
4. poor personal hygiene.


1
The ability to perform strenuous work decreases with age. The ciliary action responsible for movement of secretions from the lung is compromised because of epithelial atrophy.

Nursing

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Before the mid-1800s, early home care nursing was best recognized by which of the following?

A) Technical advances with the Industrial Revolution making major changes B) Care provided by family members, friends, and religious groups in the home C) Accomplishments stemming from the work of Florence Nightingale D) Formal organization of visiting nurses to provide care to the sick poor

Nursing

The children of an elderly resident at a nursing home are concerned that their parent is alone and lonely. A staff nurse can assure the family that the elderly should be allowed periods of solitude because such times:

A) Are essential for reflecting, analyzing, and better understanding the dynamics of life B) Decrease loneliness, insecurity, and self-imposed isolation C) Help the elderly face the misfortunes of growing old D) Affect displays of anxiety, depression, and anorexia

Nursing

When assessing the respiratory status of a client, the nurse should auscultate the lungs by:

1. Listening to breath sounds in the anterior and posterior lung bases. 2. Checking breath sounds in the anterior and posterior thorax. 3. Listening for air exchange in the bronchus and anterior lobes. 4. Checking for adventitious sounds while having the client cough.

Nursing

A licensed practical nurse (LPN) is assigned to care for a new mother at home. What duty should the nurse perform?

A) Updating client's nursing care plan B) Evaluating client's progress C) Supervising volunteer caregivers D) Making regular assessment visits

Nursing