What would the nurse recommend for a 94-year-old home health patient with deteriorated cell-mediated immunity?

a. Avoiding the influenza vaccine
b. Getting pneumonia vaccine
c. Having skin tests for all antigens
d. Taking large doses of beta-carotene


ANS: B
As the older adult loses some of the cell-mediated immunity, especially against pneumonia and influenza, it is recommended that they acquire the immunization.

Nursing

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An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: white blood cell count: 8900/mm3, red blood cell count: 3.2/mm3, hemoglobin: 9 g/dL, hematocrit: 32%

What intervention by the nurse is most appropriate? a. Instruct the client to avoid large crowds. b. Prepare to administer epoetin alfa (Epogen). c. Teach the client about foods high in iron. d. Tell the client that all laboratory results are normal.

Nursing

Coronary heart disease (CHD) is a major problem in the United States. What information on the medical history would alert the nurse to closely evaluate a patient for CHD?

Select all that apply. 1. diabetes 2. hyperlipidemia 3. positive family history 4. a premenopausal woman 5. hypotension

Nursing

Find the flow rate for manual regulation: ______________. Ordered: 220 mL D5LR to infuse over 4 h

using tubing calibrated to 60 gtt/mL. Fill in the blank(s) with correct word

Nursing

Withdrawn patients with schizophrenia:

a. Universally fear sexual involvement with therapists. b. Are socially disabled by the positive symptoms of schizophrenia. c. Exhibit a high degree of hostility as evidenced by rejecting behavior. d. Avoid relationships because they become anxious with emotional closeness.

Nursing