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. Decreased heart rate: Bearing down (Valsalva maneuver) can stimulate the vagus nerve, leading to a decrease in heart rate.

B. Increased respirations: Respirations may not increase during the Valsalva maneuver but rather may temporarily decrease or become irregular.

C. Increased temperature: No direct link exists between the Valsalva maneuver and temperature changes.

D. Decreased exhaled carbon dioxide: Valsalva may lead to transient changes in exhaled CO2, but decreased heart rate is the more immediate concern.

A. Reduced depth perception. B. Increased tone of eye muscles. C. Reduced thickness of the natural lens D. Increased flexibility of the lens

Correct Answer is A

Explanation

A. Depth perception often decreases with age due to changes in the eyes and visual processing.

B. The tone of eye muscles decreases with age, not increases.

C. The natural lens thickens with age, causing presbyopia, not a reduction in thickness.

D. The lens becomes less flexible with age, leading to difficulty focusing on near objects (presbyopia).

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about age-related changes to vision in older adult clients. Which of the following should the nurse include as an example of an expected age-related change?

Correct Answer is A

Explanation

A nursing is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse?

A nurse collecting data on a client who has vitamin A deficiency. Which of the following findings should the nurse expect?

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