For which older patient should the nurse suspect a decline in the ...

[jparksx]

For which older patient should the nurse suspect a decline in the responsiveness of the immune system?
 
  1. 78-year-old patient with pneumonia and temperature of 99.5F
  2. 68-year-old patient with a red itchy rash from contact with poison ivy
  3. 80-year-old patient with swelling and redness around an abdominal incision
  4. 66-year-old patient with 8 mm induration from a mumps skin test 72 hours earlier

Question 2

A graduate nurse is caring for a client who is receiving an intravenous infusion of heparin due to unstable angina. Which of the following laboratory results would the nurse need to notify the physician of immediately?
 
  A) PTT of 1.5 times the control
  B) PTT of 2.0 times the control
  C) PTT of 2.5 times the control
  D) PTT of 3.5 times the control

[yotaSR5]

Answer to Question 1

1
Rationale: The febrile response that signals infections may be blunted in the older person. The baseline body temperature in older people is approximately 1F lower than the normal temperature in younger people. A rise in body temperature may not be immediately evident.

Answer to Question 2

D