The charge nurse at a nursing home impresses on a visiting class of nursing assistants the importance of hand washing, because older adults have a depressed immune response. One contributor to this depressed immune response in older adults is:
A) Decreased serum activity of the thymic hormones
B) Inactivation of varicella-zoster infections
C) Decreased serum concentrations of IgA and IgG
D) High pain sensitivity associated with inflammation
A
Feedback:
Serum activity of the thymic hormones is almost undetectable with age. Serum concentrations of IgA and IgG increase with age. Inflammation often causes minimal pain in the elderly.
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Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
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A client with an advanced stage laryngeal cancer with widespread metastases is scheduled for surgery tomorrow morning. The nurse realizes that preoperative teaching has been effective when the client states
a. "After the operation, how soon will I know if they got it all?" b. "I will be glad to have this tumor removed so I can breathe better." c. "My family can't wait for this to be over so we can travel to Europe." d. "So what is the cure rate for this kind of cancer?"
The nurse is caring for the client who has stridor 30 minutes postoperatively after a thyroidectomy. Which should the nurse implement?
1. Reposition client head to open airway. 2. Apply a pressure dressing with gauze. 3. Turn the client to the recovery position. 4. Apply oxygen at 10 L/min by face mask.
The slight overlapping of cranial bones or shaping of the fetal head during labor is called:
a. Lightening. c. Ferguson reflex. b. Molding. d. Valsalva maneuver.