Author Question: An older adult has a mild temperature, night sweats, and productive cough. The client's tuberculin ... (Read 24 times)

yoroshambo · **on:** Jun 25, 2018

An older adult has a mild temperature, night sweats, and productive cough. The client's tuberculin test comes back negative. What action by the nurse is best?

a. Recommend a pneumonia vaccination.
b. Teach the client about viral infections.
c. Tell the client to rest and drink plenty of fluids.
d. Treat the client as if he or she has tuberculosis (TB).

Question 2

The nurse working in an organ transplantation program knows that which individual is typically the best donor of an organ?

a. Child
b. Identical twin
c. Parent
d. Same-sex sibling

tuwy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Due to an age-related decrease in circulating T lymphocytes, the older adult may have a falsely negative TB test. With signs and symptoms of TB, the nurse treats the client as if he or she does have TB. A pneumonia vaccination is not warranted at this time. TB is not a viral infection. The client should rest and drink plenty of fluids, but this is not the best answer as it does not address the possibility that the client's TB test could be a false negative.

Answer to Question 2

ANS: B
The recipient's immune system recognizes donated tissues as non-self except in the case of an identical twin, whose genetic makeup is identical to the recipient.