A 72-year-old client hospitalized with a second episode of pneumonia in the past 18 months expressed frustration to the nurse, stating that he never used to get sick in the past. Which response by the nurse is most appropriate?
A) "As you grow older, there is a decrease in the speed and strength of the immune system, which puts you at greater risk for developing an infection."
B) "As you grow older, your immune system just quits working."
C) "As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response."
D) "As you grow older, there in an overall increase in the speed and strength of your immune response."
A
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During descent, an airplane passenger is complaining that his "ears are plugged." What aspect of the structure and function of the ear best accounts for the passenger's complaint?
A) The inner ear adjusts its volume in response to atmospheric pressure, increasing during low pressure and decreasing in high pressure. B) The eustachian tubes must remain patent to equalize pressure between the middle ear and inner ear. C) The tympanic membrane is selectively permeable in order to accommodate pressure changes, and this capacity is often impaired during upper respiratory infections. D) Air must be able to flow between the middle ear and nasopharynx in order to accommodate pressure changes.
The nurse includes the nursing diagnosis Health seeking behaviors in a client plan of care. Which client is most suited for the nursing diagnosis? The client who:
1. Wants to attempt a return demonstration 2. Refuses to talk about or look at the device 3. Feels a few days of rest is all that is needed 4. Thinks the equipment is too complex to learn
The nursing assistant notices that the patient is stooped over with his hands on his abdomen. His face appears pale and he is grimacing. This is an example of which type of communication?
A) Verbal B) Gestures C) Nonverbal D) Sign language
A client has undergone a lumbar puncture and is weak and drowsy. Which of the following nursing interventions should be provided after a lumbar puncture?
A) Administer antihistamines to the client. B) Provide adequate caffeine-rich drinks to the client. C) Assess the level of consciousness (LOC) and the pupil response of the client. D) Position the client flat for at least 3 hours.