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A nurse is caring for a client.

Medication Administration Record:

Budesonide 6 mg PO daily.

Laboratory Results:

Hematocrit (Hct): 47% (Normal range: 37% to 52%)

Hemoglobin (Hgb): 16 g/dL (Normal range: 12 to 18 g/dL)

Potassium: 3.6 mEq/L (Normal range: 3.5 to 5.0 mEq/L)

History and Physical:

BMI: 16 (Reference Range:18.5 - 24.9)

History of type 2 diabetes mellitus.

Nonsmoker.

New diagnosis of Crohn's disease.

Click to highlight the findings that increase the client's susceptibility to infection.

To deselect a finding, click on the finding again.

Budesonide 6 mg PO daily

BMI: 16

History of type 2 diabetes mellitus

New diagnosis of Crohn's disease

Hematocrit (Hct): 47%

Hemoglobin (Hgb): 16 g/dL

Potassium: 3.6 mEq/L

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

Findings that Could Increase Susceptibility to Infection:

Budesonide 6 mg PO daily:
- Explanation: Budesonide is a corticosteroid used to reduce inflammation, often prescribed for conditions like Crohn's disease. While it helps manage inflammation, corticosteroids also suppress the immune system. This immunosuppressive effect can increase the client's susceptibility to infections.
BMI of 16:
- Explanation: A BMI of 16 is considered underweight. Malnutrition or being underweight can weaken the immune system, making a person more susceptible to infections because their body lacks the necessary nutrients and energy to support immune function.
History of Type 2 Diabetes Mellitus:
- Explanation: Diabetes, particularly if not well-controlled, can impair the immune system and increase the risk of infections. High blood sugar levels can hinder the function of immune cells, making it easier for infections to develop and harder for the body to fight them.
New Diagnosis of Crohn's Disease:
- Explanation: Crohn's disease is an inflammatory bowel disease that causes inflammation of the digestive tract. This chronic inflammation can affect the body's ability to absorb nutrients, leading to nutritional deficiencies that impair the immune system. Additionally, the disease itself, especially when active, can increase the risk of infection.

Findings That Do Not Increase Susceptibility to Infection:

Hematocrit (Hct) of 47%:
- Explanation: The Hct level is within the normal range of 37% to 52%. It measures the percentage of red blood cells in the blood. Since it's normal, it does not indicate an increased risk of infection.
Hemoglobin (Hgb) of 16 g/dL:
- Explanation: The Hgb level is also within the normal range of 12 to 18 g/dL. Hemoglobin is a protein in red blood cells that carries oxygen. This normal level does not suggest a higher risk of infection.
Potassium level of 3.6 mEq/L:
- Explanation: Potassium levels are within the normal range of 3.5 to 5.0 mEq/L. This electrolyte level is unrelated to infection risk in the context provided.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Economic stability. B. Neighborhood environment. C. Education. D. Social and community context.

Correct Answer is A

Explanation

Choice A rationale:

Economic stability is one of the key factors of the social determinants of health (SDOH) that significantly impacts an individual's well-being. In this case, the client reporting unemployment indicates a lack of economic stability. Economic stability encompasses factors such as employment, income, and financial resources, and it can affect access to healthcare, nutrition, housing, and other social determinants of health. The client's unemployment is a challenge to their overall health.

Choice B rationale:

Neighborhood environment is another SDOH factor, which includes aspects like the quality of housing, safety, and access to parks and recreational areas. While neighborhood environment can impact health, the client's unemployment directly relates to economic stability and its challenges, making choice A the more appropriate answer.

Choice C rationale:

Education is a crucial SDOH factor, as it can influence employment opportunities, income, and health literacy. However, in this specific scenario, the client's primary concern is their unemployment. While education is a related factor, choice A (economic stability) is more directly applicable to the client's situation.

Choice D rationale:

Social and community context includes factors like social support, social norms, and community engagement. While this factor is important for overall health, the client's immediate challenge is economic stability due to unemployment. Social and community context may play a role in addressing unemployment, but it is not the factor that is currently challenging the client the most.

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Findings that Could Increase Susceptibility to Infection:

Findings That Do Not Increase Susceptibility to Infection:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who speaks a different language than the nurse.Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is admitting a client who reports they are currently unemployed.Which of the following factors of the social determinants of health (SDOH) is challenging for the client?

Correct Answer is A

Explanation

A nurse is gathering evidence-based practice on catheter-associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?

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