A nurse is assisting in the care of a client.
Click to highlight the findings that increase the client's susceptibility to infection. To deselect a finding, click on the finding again.
- Client has a BMI of 16
- History of type 2 diabetes mellitus
- Client is a nonsmoker
- Hct 47%
- Budesonide 6 mg PO
Client has a BMI of 16
History of type 2 diabetes mellitus
Client is a nonsmoker
Hct 47%
Budesonide 6 mg PO
The Correct Answer is ["A","B","E"]
Client has a BMI of 16: A BMI of 16 is classified as underweight, which suggests malnutrition. Malnutrition can weaken the immune system, making the client more vulnerable to infections. A low BMI is often associated with insufficient nutritional reserves, which are essential for immune function and tissue repair.
History of type 2 diabetes mellitus: Diabetes mellitus, especially if poorly controlled, impairs immune response. High blood sugar levels can reduce the function of white blood cells, impair wound healing, and increase the risk of infections. Clients with diabetes are more prone to infections due to both metabolic and immune system alterations.
Budesonide 6 mg PO: Budesonide is a corticosteroid, which suppresses the immune system to reduce inflammation. Immunosuppression increases the risk of infections, as the body's ability to respond to pathogens is weakened. Long-term use of corticosteroids is particularly concerning in this regard.
Client is a nonsmoker: Smoking is a known risk factor for numerous infections, including respiratory infections. However, being a nonsmoker actually reduces the risk of infection. This finding does not increase susceptibility to infection.
Hct 47%: A hematocrit of 47% is within the normal range and does not suggest any immediate concerns regarding the immune system. Adequate hematocrit levels reflect healthy red blood cell counts, which are important for oxygen delivery but do not directly affect immune function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fill the client's bathtub with water at 48° C (118.4° F): The water temperature should be no higher than 37.8°C (100°F) to avoid burns, especially in clients with spinal cord injuries.
B. Give the client a long-handled sponge: This allows for safe, independent cleaning of hard-to-reach areas.
C. Offer the client bar soap: Liquid soap is preferred to prevent dryness and irritation of the skin.
D. Provide the client with a fixed showerhead: A handheld showerhead is preferred for flexibility and control during bathing.
Correct Answer is B
Explanation
A. "Being with" involves offering emotional support.
B. "Knowing" refers to understanding and comprehending the client's needs, feelings, and concerns.
C. "Enabling" involves helping the client cope with changes.
D. "Doing for" involves performing actions on behalf of the client.
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