An 81-year-old female patient in a subacute medical unit of a ...

[Yi-Chen]

An 81-year-old female patient in a subacute medical unit of a hospital has developed an oral Candida albicans infection. Which of the following phenomena would the patient's nurse suspect as a key contributing factor to her infection?
 
  A)
  The moist and temperature-suited oral environment of the client's mouth
  B)
  The ability of fungi to remain latent until the host reaches an immunocompromised state
  C)
  Antibiotic therapy that eliminated normal bacterial flora
  D)
  The airborne communicability of yeast and molds and subsequent inhalation

Question 2

A nurse holds an exercise class for older adults and knows which of the following statements listed below by a class member requires clarification?
 
  A)
  Regular exercise can prevent the blood clots that cause many strokes.
  B)
  Exercise can help you digest your food more quickly and efficiently.
  C)
  Physical activity can help diabetics stabilize their blood sugars.
  D)
  Exercise can help to keep down the salt levels that cause high blood pressure.

[SeanoH09]

Answer to Question 1

Ans:
C

Feedback:

Elimination of bacterial flora that normally keeps colonizing fungi in check can induce the proliferation of fungi. The environment of the client's mouth provides a conducive environment but with an intact immune system is rarely a direct contributor to colonization. Latency is not a common trait of Candida albicans, and airborne transmission is not likely to be a causative factor.

Answer to Question 2

Ans:
D

Feedback:

Prolonged exercise contributes to dehydration and electrolyte imbalances. Low sodium levels should be maintained and replaced. High sodium intake is causative of hypertension. Answers A, B, and C all convey demonstrated benefits of physical exercise.