When teaching a health promotion class at a retirement home for individuals 65 or greater, which information would the nurse include about ways to decrease the spread of respiratory infections?
Decrease dietary protein
Obtain flu vaccines
Avoid overhydration
Use handkerchiefs
Limit daily activity
The Correct Answer is B
A. Decreasing dietary protein does not directly affect the spread of respiratory infections. Protein is important for maintaining immune function.
B. Obtaining flu vaccines is an effective way to reduce the spread of respiratory infections, especially among older adults who are at higher risk.
C. Overhydration is not related to infection control and is not necessary in this context.
D. While handkerchiefs may help with containing respiratory droplets, disposable tissues are generally more hygienic.
E. Limiting daily activity is unnecessary for preventing respiratory infections and could negatively impact overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A respiratory rate of 20 is within the normal range for adults (12-20 breaths per minute), especially in someone experiencing dyspnea.
B. Vesicular sounds in the lung periphery are normal findings, particularly in healthy lung areas.
C. A capillary refill time of 5 seconds indicates poor perfusion and could suggest systemic issues or hypoxia, which is concerning in a patient with dyspnea.
D. An anteroposterior (AP) diameter of 1:2 is normal; a barrel chest might indicate chronic respiratory conditions but is not an immediate concern in this context.
E. Equal chest expansion is a normal finding and indicates effective respiratory mechanics.
Correct Answer is A
Explanation
A. Auscultate for any cardiac murmurs is correct, as a thrill often indicates turbulent blood flow, which may correlate with murmurs that can be heard upon auscultation.
B. Comparing apical and radial pulse rates is useful in assessing pulse deficits but does not directly address the cause of the thrill.
C. Palpating the quality of the peripheral pulses does not provide specific information about the thrill's origin.
D. Finding the point of maximal impulse is a useful cardiac assessment but does not directly explain the cause of the thrill.
E. Checking capillary refill time assesses peripheral perfusion but does not relate to the thrill's cause.
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