Answer to Question 1
Correct Answer: 4
Rationale 1: Heavy smoking does not defend the body from microorganisms; it destroys the cilia in the nose that helps to filter organisms.
Rationale 2: Moisturizing the skin can allow microorganisms to enter the body.
Rationale 3: Breakdown of the skin can allow microorganisms to enter the body.
Rationale 4: Voiding quantity sufficient is a barrier that helps the body defend itself against microorganisms. The act of voiding flushes those organisms that might try to enter the body through the urinary meatus.
Answer to Question 2
Correct Answer: 4
Rationale 1: Active bowel sounds would indicate the body is able to defend the body against an infection.
Rationale 2: Dry intact skin is a factor that would help the body defend against an infection.
Rationale 3: Intact mucous membranes is a factor that would help the body defend against infection.
Rationale 4: How susceptible the client is for an infection is one of the factors that influences microorganism growth. This client is 80 years old and has a surgical incision, so the first line of defense, the skin, is not intact.