Author Question: A nurse working in the emergency department is providing care for a group of clients. Which client ... (Read 123 times)

armygirl · **on:** Jun 25, 2018

A nurse working in the emergency department is providing care for a group of clients. Which client demonstrates a decline immune response that typically occurs with the aging process?

A) An 88-year-old client with pneumonia who has a temperature of 99.5 F
B) A 70-year-old client who has swelling and redness around an abdominal incision from an open appendectomy
C) A 58-year-old client who complains of redness and itching after developing a rash from contact with poison ivy
D) A 56-year-old client who has 8 mm induration at the site of a PPD skin test 72 hours earlier

Question 2

The nurse is assessing an older adult client who is recovering following a cholecystectomy. Which factor would increase this client's susceptibility to infection?

A) Intact mucous membranes
B) Surgical incision
C) Dry skin
D) Active bowel sounds

kaillie · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The client who has only a slight elevation in temperature in response to pneumonia is an example of a decline in the expected immune response. The other clients are demonstrating an expected immune response as evidenced by redness, swelling, and induration.

Answer to Question 2

Answer: B

Certain factors will increase a client's susceptibility to microorganism growth and infection. This client is 80 years old and has a surgical incision, so the first line of defense, the skin, is not intact. Active bowel sounds, dry skin, and intact mucous membranes are factors that help defend the body against infection.