A nurse working in the emergency department is providing care for a group of clients. Which client demonstrates a decline immune response that typically occurs with the aging process?

A) An 88-year-old client with pneumonia who has a temperature of 99.5 °F
B) A 70-year-old client who has swelling and redness around an abdominal incision from an open appendectomy
C) A 58-year-old client who complains of redness and itching after developing a rash from contact with poison ivy
D) A 56-year-old client who has 8 mm induration at the site of a PPD skin test 72 hours earlier


Answer: A

The client who has only a slight elevation in temperature in response to pneumonia is an example of a decline in the expected immune response. The other clients are demonstrating an expected immune response as evidenced by redness, swelling, and induration.

Nursing

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