Question : The nurse is conducting an annual health examination : 2135509
6. The nurse is conducting an annual health examination on an older adult client who states, “I don’t understand why I need to have so many cancer screenings tests now. I feel just fine!” Based upon this statement, which of the following topics will the nurse include in the clients’ teaching plan?
a. Consequences of aging on cell-mediated immunity
b. Decrease in antibody production associated with aging
c. Impact of poor nutrition on immune function in older people
d. Incidence of cancer-stimulating infections in older individuals
7. The nurse discusses the prevention and management of allergic reactions with a client who is a beekeeper and has developed a hypersensitivity to bee stings. Which of the following client statements indicates a need for additional teaching?
a. “I will plan to take oral antihistamines daily before going to work.”
b. “I will get a prescription for epinephrine and learn to self-inject it.”
c. “I should wear a Medic Alert bracelet indicating my allergy to bee stings.”
d. “I am going to need job retraining so that I can work in a different occupation.”
8. Which of the following instructions should the nurse include when teaching a client with possible allergies about intradermal skin testing?
a. “Do not eat anything for about 6 hours before the testing.”
b. “Take an oral antihistamine about an hour before the testing.”
c. “Plan to wait in the clinic for 20–30 minutes after the testing.”
d. “Reaction to the testing will take about 48–72 hours to occur.”
9. The nurse is obtaining a health history from a client who works as a laboratory technician and learns that the client has a history of allergic rhinitis, asthma, and multiple food allergies. Which of the following actions is most important for the nurse to implement?
a. Encourage the client to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
b. Advise the client to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
c. Document the client’s allergy history and be alert for any clinical manifestations of a type I latex allergy.
d. Recommend that the client use vinyl gloves instead of latex gloves in preventing bloodborne pathogen contact.