The geriatric nurse identifies the patient with the greatest risk ...

[09madisonrousseau09]

The geriatric nurse identifies the patient with the greatest risk of immunosuppression as
 
  a. having a roommate infected with MRSA.
  b. having numerous oral mucosal ulcers.
  c. receiving treatment for rheumatoid arthri-tis.
  d. being cognitively impaired.

Question 2

An older adult has begun dating after being widowed for many years. The adult confides to the nurse about having several sexual partners. What action by the nurse is best?
 
  a. Warn the patient that the family may not appreciate the situation.
  b. Teach the patient about safer sexual prac-tices including condoms.
  c. Ask the patient if there are any medical concerns related to sex.
  d. Tell the patient he or she may begin to have feelings of guilt.

[Jane]

Answer to Question 1

C
Individuals receiving corticosteroids, such as for rheumatoid arthritis, have a diminished in-flammatory process and decreased immunity. Open ulcers anywhere can lead to infection, but chronic steroid use places the patient at high risk. Patients with methicillin-resistant Staphylo-coccus aureus (MRSA) are in isolation. Being cognitively impaired does increase risk, but not as much as steroid use.

Answer to Question 2

B
The chances of STDs, including HIV, increase with the increased number of sexual partners. Many older patients do not know about safer sexual practices, so for patient safety, this is the priority.

[09madisonrousseau09]

TYSM

[sultana.d]

Thanks for the timely response, appreciate it