WorksheetsGeriaP2_Resp
Total questions: 20
Worksheet time: 10mins
Which age-related respiratory change most significantly contributes to the development of pneumonia in older adults?
Increased chest wall compliance
Decreased cilia function and reduced cough force
Enhanced alveolar macrophage activity
Improved pharyngeal sensation
An 82-year-old patient presents with a barrel chest appearance. This finding is primarily attributed to:
Decreased functional residual capacity
Increased elastic recoil of the lungs
Chest wall stiffening and costal cartilage calcification
Enhanced respiratory muscle strength
When assessing an older adult's respiratory status, which finding would be considered a normal age-related change?
Increased vital capacity
Decreased residual volume
Diminished breath sounds at lung bases
Increased PaO₂ levels
A nurse is caring for a 75-year-old patient with respiratory compromise. What would be the earliest indication of lower respiratory tract infection in this patient?
Fever above 38.5°C
Productive cough with purulent sputum
Respiratory rate greater than 25 per minute
Chest pain with deep inspiration
Which nursing intervention is most appropriate for an older adult experiencing decreased respiratory efficiency?
Encouraging bed rest to conserve energy
Pacing activities with scheduled rest periods
Limiting fluid intake to prevent congestion
Administering oxygen continuously
An older adult patient shows signs of inadequate oxygen uptake. Which combination of early signs should the nurse assess for?
Fever, chills, and night sweats
Cough, marked fatigue, and confusion
Chest pain, palpitations, and dizziness
Nausea, vomiting, and headache
Which age-related change in respiratory control poses the greatest risk for older adults during minor respiratory incidents?
Increased response to hypoxemia
Enhanced response to hypercapnia
Decreased response to hypoxemia and hypercapnia
Improved acid-base balance maintenance
A nurse is teaching deep-breathing exercises to an older adult. This intervention primarily addresses which age-related respiratory change?
Increased chest wall compliance
Enhanced cough effectiveness
Decreased respiratory muscle strength
Improved alveolar function
Which assessment finding in an older adult would warrant immediate nursing intervention?
Slight decrease in chest wall movement
Kyphotic posture with barrel chest
Confusion with profuse perspiration during oxygen therapy
Diminished breath sounds at lung bases
When planning care for an older adult with ineffective airway clearance, which intervention should be prioritized?
Increasing fluid restriction
Teaching forced expiration techniques
Limiting position changes
Decreasing activity levels
An older adult patient has a nursing diagnosis of "Impaired Gas Exchange." Which outcome would best indicate successful nursing intervention?
Patient sleeps 8 hours without interruption
Patient demonstrates relaxed breathing at normal rate and depth
Patient consumes adequate oral fluids daily
Patient ambulates in hallway twice daily
Which factor most significantly increases the risk of respiratory complications in hospitalized older adults?
Age over 65 years
History of seasonal allergies
Retained secretions and excessive sedation
Mild hypertension
A nurse is evaluating the effectiveness of respiratory interventions for an older adult. Which statement by the patient best indicates successful outcomes?
"I can climb two flights of stairs without stopping."
"I sleep better and feel rested each day."
"I rarely cough anymore during the night."
"I don't need to use my inhaler as often."
When assessing an older adult's respiratory system, which technique modification is most important?
Using deeper palpation for chest assessment
Performing auscultation for shorter periods
Positioning patient supine throughout assessment
Allowing longer rest periods between assessment components
Which age-related respiratory change most directly contributes to increased risk of aspiration in older adults?
Decreased chest wall compliance
Reduced sensation in pharynx
Increased anteroposterior diameter
Diminished breath sounds
A nurse is caring for an older adult with a respiratory infection. Which nursing action reflects understanding of age-related immune changes?
Expecting rapid resolution within 3-5 days
Anticipating that infections may be more severe and last longer
Assuming normal inflammatory response patterns
Expecting typical fever response to infection
When teaching prevention strategies to older adults, which intervention would be most effective in reducing respiratory complications?
Limiting outdoor activities during winter months
Taking vitamin supplements daily
Avoiding smoking and respiratory pollutants
Restricting social interactions during flu season
Which assessment finding would most likely indicate the need for postural drainage in an older adult?
Decreased oxygen saturation levels
Thickened mucus with ineffective cough
Increased respiratory rate at rest
Complaints of chest tightness
An older adult patient asks why they become short of breath more easily than when they were younger. The nurse's best response addresses which primary age-related change?
"Your heart pumps less efficiently as you age."
"Your lung capacity decreases and airways become less efficient with age."
"You're probably not as physically active as before."
"It's mainly due to other health conditions you may have."
Which nursing intervention best addresses the age-related change of decreased alveolar macrophage function in older adults?
Encouraging frequent position changes and coughing exercises
Administering bronchodilators as needed
Providing supplemental oxygen continuously
Limiting visitor exposure during hospitalization
