The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections. For what is this patient at increased risk?
COPD
Atelectasis
Bronchitis
Pneumonia
The Correct Answer is D
A. COPD: While COPD is a chronic condition that can be exacerbated by infections, it is not directly caused by decreased immune resistance.
B. Atelectasis: Atelectasis refers to the collapse of part of the lung, often due to surgery or immobility, rather than decreased resistance to infection.
C. Bronchitis: Bronchitis is an inflammation of the bronchi, which can be an issue, but pneumonia is more directly related to infection risk.
D. Pneumonia: Pneumonia is an infection of the lungs and older adults with decreased immune resistance are at increased risk for developing this condition
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypertension: Decreased blood vessel elasticity can lead to increased vascular resistance, resulting in hypertension.
B. Confusion: While confusion can result from poor circulation, it is not a direct result of decreased blood vessel elasticity.
C. Retained secretions: Retained secretions are more related to respiratory issues rather than circulatory changes.
D. Tachycardia: Tachycardia is an increased heart rate and is not a direct result of decreased blood vessel elasticity.
Correct Answer is D
Explanation
A. Monitor for signs of seizure activity: Seizure activity is not directly related to the condition described.
B. Increase the IV rate and monitor for burn shock: Increasing the IV rate could exacerbate fluid overload; burn shock is more of a concern in the initial hours post-burn.
C. Raise the foot of the bed and apply blankets. This is not relevant to addressing the issue of large urine output.
D. Assess for signs of fluid overload: After the initial fluid resuscitation phase, large urine output may indicate that fluid is being mobilized from the tissues back into the vascular system, potentially leading to fluid overload.
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