A 77-year-old client was put on broad-spectrum antibiotics when ...

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A 77-year-old client was put on broad-spectrum antibiotics when hospitalized for sepsis. The client has a history of rheumatoid arthritis and a recurring problem with pneumonia.
 
  Which of the following theories best explains why the client has had these issues?
 
  A) Free radical theory
  B) Genetic theory
  C) Immunity theory
  D) Wear-and-tear theory

Question 2

A home health nurse performs an admission on a 90-year-old client who has a small dog. The client states that the most important problem is urinary incontinence. The client's blood pressure is 135/90 mm Hg, with last bowel movement 3 days ago.
 
  Which of the following areas addresses the person's goals?
 
  A) Safety
  B) Incontinence
  C) Blood pressure
  D) Constipation

[amcvicar]

Answer to Question 1

Ans: C
Immunity theories focus on immunosenescence. Older adults are more susceptible to cancer, autoimmune disorders, and infections, a phenomenon that is known as immunosenescence. Wearing out is exacerbated by harmful factors, such as stress, disease, smoking, poor diet, and alcohol abuse. Free radicals are waste products of metabolism and they can damage cells. Current studies indicate that the genetic effect on longevity is due to modest effects of many genes interacting, with some genes increasing one's susceptibility to age-related disease and early death and other genes slowing the aging process and leading to a longer life.

Answer to Question 2

Ans: B
Although nurses address safety, blood pressure, and constipation as part of a comprehensive care plan, it is imperative to begin by addressing the older adult's priority.

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Excellent

[FergA]

TYSM