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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.

A.

Budesonide 6 mg PO daily

B.

BMI: 16

C.

History of type 2 diabetes mellitus

D.

New diagnosis of Crohn's disease

E.

Hematocrit (Hct): 47%

F.

Hemoglobin (Hgb): 16 g/dL

G.

Potassium: 3.6 mEq/L

Answer and Explanation

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

Findings that Could Increase Susceptibility to Infection:

  1. 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.

  2. 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.

  3. 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.

  4. 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:

  1. 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.

  2. 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.

  3. 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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Related Questions

Correct Answer is B

Explanation

Choice A rationale:

SDOH are not determined by an individual's ethnic background. SDOH encompass a wide range of factors beyond ethnicity that affect an individual's well-being, including social, economic, and environmental factors.

Choice B rationale:

SDOH are conditions in an individual's environment that affect their well-being. This is the correct answer. Social Determinants of Health (SDOH) refer to the conditions in which people are born, grow, live, work, and age, and how these conditions impact their physical and mental well-being. These conditions include factors such as income, education, employment, social support, and access to healthcare.

Choice C rationale:

Identifying SDOH does not increase disparities in healthcare. In fact, recognizing and addressing SDOH can help reduce health disparities by providing more equitable access to resources and services for underserved populations.

Choice D rationale:

While psychological factors can be important determinants of health, they are not typically considered part of the social determinants of health. SDOH primarily focus on external factors related to an individual's environment and socioeconomic conditions.

Correct Answer is D

Explanation

The correct answer is choiced. Location of blood pressure cuff.

Choice A rationale:The systolic blood pressure of 102 mm Hg is within a normal range and does not require clarification.

Choice B rationale:The position of the client, “sitting up in a chair,” is clearly documented and does not need further clarification.

Choice C rationale:The unit of measurement, “mm Hg,” is the standard unit for blood pressure and is correctly documented.

Choice D rationale:The location of the blood pressure cuff is not specified in the documentation. It is important to document whether the blood pressure was taken on the left or right arm, or another location, to ensure accuracy and consistency in future measurements.

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