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Gero > Chapter 22: Respiratory Function > Flashcards

Chapter 22: Respiratory Function Flashcards

Exam 3

1
Q

Introduction:

Respiratory primary function

A

Supply oxygen

Remove carbon dioxide

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2
Q

Introduction:

Risk factors to Respiratory primary function:

A

Smoking

Anesthesia

Acute and chronic diseases

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3
Q

Introduction:

Age-related changes to Respiratory primary function: What is it difficult to do?

A

Difficult to distinguish the effects of age-related changes from those caused by disease processes and external influences

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4
Q

Age-Related Changes That Affect Respiratory Function:

Upper respiratory structures: What is diminished?

A

Diminished blood flow to the nose

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5
Q

Age-Related Changes That Affect Respiratory Function:

Upper respiratory structures: What is there atrophy off?

A

Atrophy of laryngeal nerve endings

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6
Q

Age-Related Changes That Affect Respiratory Function:

Upper respiratory structures: What is blunted?

A

Blunted cough and laryngeal reflexes

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7
Q

Age-Related Changes That Affect Respiratory Function:

Upper respiratory structures: What is stiffened?

A

Stiffening of trachea

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8
Q

Age-Related Changes That Affect Respiratory Function:

Upper respiratory structures: What happens to mucus?

A

Thicker mucus

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9
Q

Age-Related Changes That Affect Respiratory Function:

Chest wall and musculoskeletal structures: What happens to ribs and vertebrae?

A

Ribs and vertebrae become osteoporotic

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10
Q

Age-Related Changes That Affect Respiratory Function:

Chest wall and musculoskeletal structures: What happens to cartilage?

A

Costal cartilage calcifies

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11
Q

Age-Related Changes That Affect Respiratory Function:

Chest wall and musculoskeletal structures: What happens to respiratory muscles?

A

Respiratory muscles weaken

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12
Q

Age-Related Changes That Affect Respiratory Function:

Chest wall and musculoskeletal structures: What changes occur?

A

Structural changes

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13
Q

Age-Related Changes That Affect Respiratory Function:

Chest wall and musculoskeletal structures: Structural changes occur: Like what?

A

Kyphosis

Shortened thorax

Chest wall stiffens

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14
Q

Age-Related Changes That Affect Respiratory Function:

Chest wall and musculoskeletal structures: Structural changes occur:

Kyphosis: What is it?

A

curvature of spine

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15
Q

Age-Related Changes That Affect Respiratory Function:

Lung structure and function: What happens to lungs?

A

Lungs become smaller and flaccid

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16
Q

Age-Related Changes That Affect Respiratory Function:

Lung structure and function: What happens to things involved with blood?

A

Pulmonary artery becomes wider, thicker, and less elastic

Diminished capillaries

Decrease in capillary blood volume

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17
Q

Age-Related Changes That Affect Respiratory Function:

Lung structure and function: What happens to mucosal bed?

A

Mucosal bed thickens

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18
Q

Age-Related Changes That Affect Respiratory Function:

Lung structure and function: What else happens?

A

Elastic recoil

Duct ectasis

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19
Q

Age-Related Changes That Affect Respiratory Function:

Changes in immune function include:

A

Age-related alteration of T cells contribute to increased prevalence of lung diseases

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20
Q

Which is not an age-related change that can affect respiratory performance?

A. Shortened thorax
B. Chest wall stiffness
C. Increased anteroposterior diameter of the chest
D. Decreased respiratory rate with exertion

A

D. Decreased respiratory rate with exertion

Structural changes that affect respiratory performance include kyphosis, shortened thorax, chest wall stiffness, and increased anteroposterior diameter of the chest.

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21
Q

Risk Factors That Affect Respiratory Wellness:

What products?

A

Smoking and smokeless tobacco products

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22
Q

Risk Factors That Affect Respiratory Wellness:

How does smoking tobacco cause issues?

A

Tobacco smoking causes detrimental effects through multiple heat and chemical actions on the respiratory system and other organs

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23
Q

Risk Factors That Affect Respiratory Wellness:

How does risk of smoking tobacco vary?

A

Risk varies somewhat according to the form of tobacco or nicotine, but all forms of nicotine are harmful

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24
Q

Risk Factors That Affect Respiratory Wellness:

What are the forms of tobacco smoking?

A

Forms of tobacco smoking include cigarettes (purchased and hand-rolled), cigars, pipes, and waterpipes

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25
Q

Risk Factors That Affect Respiratory Wellness:

What are the forms of smokeless tobacco?

A

Smokeless tobacco products include snuff, chewing tobacco, snus, nicotine gum, and patches

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26
Q

Risk Factors That Affect Respiratory Wellness

What do e-cigarettes contain?

A

E-cigarettes, also called vaping or vapes, contain dangerous chemicals that can cause lung disease and increase the risk for cardiovascular disease

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27
Q

Risk Factors That Affect Respiratory Wellness—

Health inequities: Tobacco use

Prevalence of any type of current tobacco use in the United States is highest among who?

A

Prevalence of any type of current tobacco use in the United States is highest among men, non-Hispanic American Indian/Alaska Native adults, those with lower education, lower income households, uninsured adults, and lesbian, gay, or bisexual

28
Q

Risk Factors That Affect Respiratory Wellness—

Health inequities: Tobacco use

Why is it detrimental?

A

Detrimental due to heat and chemical actions

29
Q

Risk Factors That Affect Respiratory Wellness—

Health inequities: Tobacco use

Detrimental due to heat and chemical actions:
Actions lead to what?

A

Bronchoconstriction

Impaired air flow

Inflammation of mucosa

Inhibited ciliary action

30
Q

Risk Factors That Affect Respiratory Wellness—

Other forms of smoking?

A

Marijuana

Nicotine–medication interactions

Secondhand smoke and other environmental factors

Environmental risk factors

Additional risk factors

31
Q

Risk Factors That Affect Respiratory Wellness—

Secondhand smoke and other environmental factors: Like?

A

Lung cancer,

respiratory illness,

cardiovascular disease,

stroke,

type 2 diabetes,

impaired cognitive function

32
Q

Is the following statement true or false?

The maximum level of respiratory function in middle and later adulthood is significantly influenced by the maximum level reached during the fifth decade of life.

A

False

33
Q

The maximum level of respiratory function in middle and later adulthood is significantly influenced by the maximum level reached during the fifth decade of life.

False- Why?

A

A unique characteristic of respiratory performance is that the maximum level of function in middle and later adulthood is significantly influenced by the maximal level reached during the third decade of life, which is largely determined by factors that affected respiratory development in early life.

34
Q

Functional Consequences Affecting Respiratory Wellness

include:

A

Age-related changes:

Increased susceptibility to lower respiratory infections

35
Q

Functional Consequences Affecting Respiratory Wellness

include: Age-related changes- like?

A

diminished respiratory efficiency,

reduced total pulmonary function

36
Q

Functional Consequences Affecting Respiratory Wellness

include: Increased susceptibility to lower respiratory infections- What are causes of this?

A

Functional consequence of age-related changes of respiratory and immune system

Poor oral care:

Impaired mobility

37
Q

Functional Consequences Affecting Respiratory Wellness

include: Increased susceptibility to lower respiratory infections- Lower respiratory infections- like?

A

pneumonia,

influenza,

West Nile viral infection

38
Q

Functional Consequences Affecting Respiratory Wellness

include: Increased susceptibility to lower respiratory infections- Poor oral care will lead to?

A

Poor oral care: increases the risk of pneumonia

39
Q

Functional Consequences Affecting Respiratory Wellness

include: Increased susceptibility to lower respiratory infections-

Aspiration pneumonia: what is it?

A

Aspiration pneumonia: inflammation caused by food or secretions entering bronchial tree

40
Q

Functional Consequences Affecting Respiratory Wellness

Pneumonia: Risk factors include?

A

Dysphagia

Dementia

Post-surgical care

Fragility

Dehydration

Malnutrition

Impaired function

Compromised immunity

41
Q

Pathologic Condition Affecting Respiratory Function: COPD

What is it?

A

chronic airflow obstruction interfering with breathing

42
Q

Pathologic Condition Affecting Respiratory Function: COPD

What makes up COPD?

A

Emphysema

Chronic bronchitis

43
Q

Pathologic Condition Affecting Respiratory Function: COPD

What are common manifestations of COPD?

A

Common manifestations:

cough,

dyspnea,

wheezing, and

sputum production

44
Q

Pathologic Condition Affecting Respiratory Function: COPD

What is health promotion for COPD?

A

participation in self-management programs

45
Q

Nursing Assessment of Respiratory Function:

What should be identified?

A

Identifying opportunities for health promotion

Identifying other risk factors

Identifying normal age-related variations

46
Q

Nursing Assessment of Respiratory Function:

What should be detected?

A

Detecting lower respiratory infections

47
Q

Nursing Assessment of Respiratory Function:

What should be assessed?

A

Assessing smoking behaviors

48
Q

Nursing Assessment of Respiratory Function:

What physical symptoms should the nurse be aware of?

A

Slight increase in the normal respiratory rate,

increased anteroposterior diameter,

forward-leaning posture,

increased resonance on percussion,

diminished intensity of lung sounds,

increased presence of adventitious sounds in the lower lungs

49
Q

Older adults are most likely to enter an emergency department with which of the following symptoms of pneumonia?

A. Cough productive of large amounts of mucus
B. Altered mental status

C. Temperature above 100.5°F

D. Shortness of breath

A

B. Altered mental status

50
Q

Older adults are most likely to enter an emergency department with which of the following symptoms of pneumonia?

B. Altered Mental Status- Why? What don’t they usually have?

A

Older adults with pneumonia do not always meet the typical assessment criteria for pneumonia, such as cough, chills, dyspnea, elevated temperature, and elevated white blood cell count.

51
Q

Older adults are most likely to enter an emergency department with which of the following symptoms of pneumonia?

B. Altered Mental Status- What kind of symptoms are older adults more likely to have?

A

Older adults are more likely to have subtler and nonspecific disease manifestations, such as altered mental status, or other changes in functioning, such as incontinence, unexplained falls, sudden aggravation, or failure to thrive.

52
Q

Nursing Interventions for Respiratory Wellness

A

Promoting respiratory wellness

Immunizations for preventing influenza and pneumonia

Eliminating the risk from smoking

Screening for lung cancer in smokers

53
Q

Nursing Interventions for Respiratory Wellness

Promoting respiratory wellness: Like?

A

Education,

prevention,

health promotion interventions,

patient teaching materials

54
Q

Nursing Interventions for Respiratory Wellness

Immunizations for preventing influenza and pneumonia: Like?

A

Prevention of pneumonia and influenza with health promotion and education interventions

55
Q

Nursing Interventions for Respiratory Wellness

Eliminating the risk from smoking: Like?

A

Address attitudes that influence health-related behaviors

56
Q

Wellness Outcomes (Positive Functional Consequences) include:

A

Wellness-oriented care plans

Successful health education

Address immunization status

Reassessment of subjective indicators

Ease of breathing

Reassessment of objective indicators

Lung sounds, respiratory rate, and rhythm

History of immunizations for pneumonia and influenza

Plan to stop smoking:

57
Q

Wellness Outcomes (Positive Functional Consequences) include:

Wellness-oriented care plans: What do they address?

A

Address increased vulnerability to pneumonia, influenza, and tuberculosis

58
Q

Wellness Outcomes (Positive Functional Consequences) include:

Successful health education : What do they address?

A

Specific and measurable outcomes

59
Q

Wellness Outcomes (Positive Functional Consequences) include:

Plan to stop smoking: What do they address?

A

Successful participation in smoking cessation

60
Q

Which statement related to the influenza vaccine and the older adult population is true?

A. The majority of older adults receive the influenza vaccine.

B. Hospitalization admission rates for respiratory infection are decreased for those who receive the vaccination.

C. Influenza vaccinations do not require a physician’s order.

D. The primary reason that health care workers need to be vaccinated is so that they do not get the flu.

A

B. Hospitalization admission rates for respiratory infection are decreased for those who receive the vaccination.

61
Q

How is the flu vaccine for older adults? How does it affect mortality and morbidity?

A

The influenza vaccine is safe and well tolerated in older adults and has been shown to reduce mortality and morbidity as well as decrease hospitalization admission rates for respiratory infection.

62
Q

What is the percentage of older adults who get the flu vaccine?

A

The percentage of older adults getting the flu shot ranges from 23% to 70%.

63
Q

Why should health care workers receive the flu vaccines?

A

Health care workers who care for older adults should receive annual influenza vaccinations to prevent transmission to the older adult population.

64
Q

What is needed to administer the flu vaccine?

A

A physician’s order is needed to provide the vaccine.

65
Q

What percent of flu deaths occur in older adults?

A

It is estimated that 90% of seasonal flu-related deaths with more than 60% of flu-related hospitalization occur in those 65 and older annually as the immune defenses becoming weaker with age.

Gero (14 decks)

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