A nurse is assisting in the care of a client.

Exhibits

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

Answer and Explanation

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

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Case managers are responsible for coordinating care, including arranging for services such as home health care, ensuring continuity of care after discharge.

B. Writing prescriptions is outside the scope of case management and is a responsibility of licensed providers such as physicians or nurse practitioners.

C. Performing nursing tasks, such as dressing changes, is a role carried out by bedside nurses or home health care nurses, not case managers.

D. Providing education about medications is typically the responsibility of bedside nurses, as they are more directly involved in client education during care.

A. Burn injury B. Hypothermia C. Financial difficulties D. Wrist fracture

Correct Answer is C

Explanation

A. Burn injuries are physical stressors.

B. Hypothermia is a physical stressor.

C. Financial difficulties are a psychological stressor, as they can cause emotional distress and anxiety.

D. A wrist fracture is a physical stressor.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?

Correct Answer is A

Explanation

A nurse is assisting with teaching a class about sources of stress. The nurse should include that which of the following is an example of a psychological stressor

Correct Answer is C

Explanation

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

A nurse is reinforcing teaching with an adolescent client about hygiene. Which of the following instructions should the nurse include?

A charge nurse is assisting in providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?

A nurse is receiving report on a group of clients. Using the ABCDE priority framework, which of the following clients should the nurse see first?

A nurse is assisting with the care of a client. Exhibits A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.

A nurse is assisting with reviewing the Health Nurse, Healthy Nation program developed by the American Nurses Association (ANA) for a presentation for a group of staff nurses. Which of the following is one of the five initiatives for this program?

A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?