Chapter 29- Immune Function

Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.

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Chapter 29- Immune Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The clinic nurse teaches the older adult who is receiving the influenza vaccination. Which of the following statements, if made by the client, indicate the need for further teaching?
  A) “I will call my health care provider if I develop a cough and fever.”
  B) “I will increase my intake of vegetables this flu season.”
  C) “I want the live attenuated nasal spray vaccine, not the shot.”
  D) “I will wash my hands before and after I urinate.”
  Ans: C
  Feedback:
  Live, attenuated influenza vaccine (LAIV) contains live but attenuated (weakened) influenza virus. It is sprayed into the nostrils and is not appropriate for the older adult whose immune response is senescent.

 

 

  Origin:  Chapter 29- Immune Function, 2

Chapter:  29

Client Needs:  B

Cognitive Level:  Analysis

Difficulty:  Moderate

Integrated Process:  Teaching/learning

Objective:  3

Page and Header:  399, Nursing Diagnosis Highlight

2. The clinic nurse teaches the older adult who has been diagnosed with viral rhinitis (the common cold). Which of the following statements, if made by the client, indicate the need for further teaching?
  A) “I will finish the antibiotics that I have left in my cupboard.”
  B) “I will increase my intake of zinc.”
  C) “I will use my hanky to cover my nose when sneezing.”
  D) “I will wash my hands before and after I eat.”
  Ans: A
  Feedback:
  Old prescriptions should be disposed of, not saved and used again for viral infections. Antibiotics are useful for bacteria, not viruses. Zinc decreases on average the number of days of symptom otology with the common cold. People with a cold should cover their mouth and nose and perform frequent hand hygiene.

 

 

  Origin:  Chapter 29- Immune Function, 3

Chapter:  29

Client Needs:  A2

Cognitive Level:  Cognition

Difficulty:  Easy

Integrated Process:  Nursing process

Objective:  2

Page and Header:  400, Careful Use of Antibiotics

3. The nurse educates the staff of a residential home about an upcoming influenza season. Which of the following should the nurse include in the presentation?
  A) Antibiotics are an effective treatment for influenza.
  B) Hand hygiene is one of the most important ways to prevent the spread of infections.
  C) Infection control practices increase the risks of transmission of influenza.
  D) The influenza vaccination is not recommended for persons over the age of 64.
  Ans: B
  Feedback:
  Health care providers should adhere to strict infection control practices and practice hand hygiene at key points in time to disrupt the transmission of microorganisms. A yearly influenza vaccination is recommended to reduce its occurrence.

 

 

  Origin:  Chapter 29- Immune Function, 4

Chapter:  29

Client Needs:  D4

Cognitive Level:  Analysis

Difficulty:  Moderate

Integrated Process:  Nursing process

Objective:  2

Page and Header:  398, Immunologic Health Promotion

4. The nurse prioritizes completion of home visits during an outbreak of the flu. Which of the following persons is at greatest risk for contracting influenza?
  A) A 67-year-old recovering from a knee replacement received 3 weeks ago.
  B) An 89-year-old with asthma living in a public housing facility.
  C) An obese 82-year-old living with family.
  D) A 74-year-old who fell at yoga class 10 days ago and has an open wound.
  Ans: B
  Feedback:
  While the obese person may have risk factors, the person with asthma living in public housing has multiple risk factors, including reduced income and a respiratory comorbidity and age. Health promotion activities include yoga and current immunizations.

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