Author Question: An older adult client who resides in a long-term care facility is admitted to the hospital with ... (Read 156 times)

nenivikky · **on:** Jun 25, 2018

An older adult client who resides in a long-term care facility is admitted to the hospital with sepsis. The family is tearful and does not understand how their family member got so sick from a bed sore.

What should the nurse teach the family to help in the care of the client?
A) Alert the staff when the IV runs dry.
B) Help the nurse with dressing changes.
C) Assist the client to the bathroom so there is not a fall.
D) Assist the client with meals to obtain optimal nourishment.

Question 2

A 1-month-old infant is admitted to the hospital with a temperature of 102 F. For which reason will this infant receive a septic work-up?

A) Absence of sweat glands
B) Immature immune system
C) Inadequate red blood cells
D) Poor lung elasticity

Fayaz00962 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

Poor nutritional status and a slow-functioning immune system contribute to the risk for sepsis in the older client. The family can help by assisting and encouraging the client to take in the proper nourishment needed. The family is not responsible for IV or dressing changes. Assisting the client to the bathroom should be done by the staff who are responsible for client safety.

Answer to Question 2

Answer: B

A child less than 3 months of age with a temperature higher than 100.4 F should be evaluated for sepsis because the child is at increased risk secondary to an immature immune system. The child is not evaluated for sepsis because of the absence of sweat glands, inadequate red blood cells, or poor lung elasticity.