A 68-year-old patient tells the nurse she does not understand why she has had more colds over the last several years. The nurse considers which component of normal aging before replying?
1. There is a decrease in the number and function of T cells.
2. The flu vaccine given to the elderly is not as potent as that given to younger adults.
3. There is a decrease in complement.
4. The B cells respond more rapidly.
1
Rationale 1: The decline in T cell number and function with aging results in greater susceptibility to infection.
Rationale 2: The same type and dose of influenza vaccine is given to all adults.
Rationale 3: There is no evidence to suggest a change in the amount or function of complement with aging.
Rationale 4: The B cells have a slower response as a person ages.
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While explaining to the parents of a 5-year-old why the child's fractured femur has so much swelling and bruising, the nurse will include which of the following statements?
A) "Your child fell out of the tree with so much force that the body is trying to send extra fluid to the area of the break." B) "All bone fractures have lots of bruising so it's nothing to worry about." C) "This bone is hollowed out, and the inside of the shaft produces marrow where red blood cells are formed." D) "There are a lot of cartilage attaching to the shaft of the femur, so when you break that bone, it ruptures the cartilage and causes more swelling."
While assessing a client's spinal status, the nurse notes a lateral deviation in the vertical line of the spine. This is called:
a. kyphosis. c. a spinal list. b. lordosis. d. scoliosis.
Aspirin is a drug that comes in different strengths. The physician orders aspirin (ii) PO plain or extra-strength every 4 hours PRN for pain for a reported pain of 1 to 3 on a scale of 0 to 10
The nurse should administer tablets of which of the following strengths? (Select all that apply.) 1. 250 mg 2. 500 mg 3. 325 mg 4. 600 mg
A parent tells the nurse that he is having difficulty disciplining his 5-year-old child, and the nurse teaches the parent that discipline should be based on the knowledge that 5-year-olds:
a. Are incapable of delaying gratification. b. Are not interested in attaining rights and privileges of individuality. c. Should demonstrate basic social skills and respond to others' expectations. d. Will use highly inappropriate methods of expressing frustration.