Author Question: A clinic nurse is working with an older client. What assessment is most important for preventing ... (Read 32 times)

cookcarl · **on:** Jun 25, 2018

A clinic nurse is working with an older client. What assessment is most important for preventing infections in this client?

a. Assessing vaccination records for booster shot needs
b. Encouraging the client to eat a nutritious diet
c. Instructing the client to wash minor wounds carefully
d. Teaching hand hygiene to prevent the spread of microbes

Question 2

A client is taking prednisone to prevent transplant rejection. What instruction by the nurse is most important?

a. Avoid large crowds and people who are ill.
b. Check over-the-counter meds for acetaminophen.
c. Take this medicine exactly as prescribed.
d. You have a higher risk of developing cancer.

nhea · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Older adults may have insufficient antibodies that have already been produced against microbes to which they have been exposed. Therefore, older adults need booster shots for many vaccinations they received as younger people. A nutritious diet, proper wound care, and hand hygiene are relevant for all populations.

Answer to Question 2

ANS: A
Prednisone, like all steroids, decreases immune function. The client should be advised to avoid large crowds and people who are ill. Prednisone does not contain acetaminophen. All clients should be taught to take medications exactly as prescribed. A higher risk for cancer is seen with drugs from the calcineurin inhibitor category, such as tacrolimus (Prograf).