The nurse is caring for an 86-year-old client who is reporting inability to concentrate, uneasiness, lightheadedness, weakness, and muscle and joint discomfort. The client also has an elevated pulse, elevated respirations, and a normal temperature. Which of the following statements would be accurate?
Without an elevated temperature, infection is not present.
The client's symptoms are typical of an older adult client.
An infection was present and has dissipated.
An older adult can have an infection without a fever.
The Correct Answer is D
A. It is possible for an infection to be present without an elevated temperature, especially in older adults.
B. While some symptoms may be common in older adults, the presence of symptoms alone does not exclude the possibility of infection.
C. The resolution of infection cannot be determined solely based on the absence of fever.
D. Older adults may have a blunted fever response to infection, leading to a lack of fever despite the presence of other symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Naturally acquired active immunity refers to immunity acquired through natural exposure to a pathogen or antigen, leading to the production of antibodies by the individual's immune system.
B. Artificially acquired passive immunity refers to the transfer of antibodies produced by another individual or animal, such as through administration of immune globulin.
C. Naturally acquired passive immunity occurs when antibodies are transferred from mother to baby through the placenta or breast milk, providing temporary protection to the baby.
D. Artificially acquired active immunity refers to immunity acquired through vaccination, where the individual's immune system is stimulated to produce antibodies in response to an antigen.
Correct Answer is C
Explanation
A. Removing the mask just inside the door is a proper procedure to avoid potential contamination of the outer surface of the mask.
B. Washing hands and donning a face mask before entering the room is appropriate to prevent the transmission of droplets.
C. Even if the spouse stays a foot away from the client, wearing a mask is essential for droplet precautions as respiratory droplets can travel short distances.
D. This statement accurately describes how the disease is transmitted through respiratory droplets.
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