Which of the following individuals would be at greatest risk of opportunistic infection?
70-year-old with congestive heart failure
18-year-old with diabetes
24-year-old who is immunocompromised
30-year-old with pneumonia
The Correct Answer is C
A. 70-year-old with congestive heart failure: Older age and chronic illness can increase infection risk (reduced reserve, hospitalizations), but CHF itself does not specifically cause profound immune suppression.
B. 18-year-old with diabetes: Diabetes (especially if poorly controlled) increases susceptibility to infection and some opportunists, but risk depends on glycaemic control and complications.
C. 24-year-old who is immunocompromised: Immunocompromised individuals (e.g., from HIV, chemotherapy, immunosuppressive drugs) have impaired host defenses and are at greatest risk for opportunistic infections.
D. 30-year-old with pneumonia: Pneumonia is an acute infectious illness that can weaken the host, but it does not by itself confer the same chronic susceptibility to opportunistic pathogens as an immunocompromised state.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To predict a prognosis: Predisposing factors can help estimate risk and influence prognosis, but prognosis also depends on disease stage and response to treatment - this is a useful but not the primary public-health focus.
B. To determine treatments: Knowing predisposing factors can guide individualized management (e.g., controlling diabetes reduces infection risk), but treatment decisions usually depend on current disease state as well.
C. To develop preventative measures: Identifying predisposing factors is fundamental for prevention (screening, lifestyle modification, vaccination, risk-reduction strategies) to reduce disease incidence.
D. To develop morbidity statistics: Predisposing-factor data contribute to epidemiology and morbidity statistics, but that is a secondary use compared with prevention.
E. To test new drug treatments: While epidemiologic knowledge can inform research priorities, testing new drugs is not the primary reason we identify predisposing factors.
Correct Answer is D
Explanation
A. increase in number: Cardiac myocytes in the adult are largely terminally differentiated, so they do not appreciably multiply (hyperplasia) in response to increased workload.
B. increase in excitability: Increased workload causes structural and functional adaptation (hypertrophy) rather than a primary increase in membrane excitability; excitability changes are more a feature of pathological electrical remodeling.
C. decrease in length: Cells do not shorten as an adaptive response to increased workload; they grow (change in size/shape) rather than decrease in length.
D. increase in size: Cardiac muscle responds to increased workload by hypertrophy (an increase in cell size) to generate greater contractile force.
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