The nurse is preparing a presentation to senior citizens about the influenza vaccination. Which information should the nurse include? Select all that apply.
1. A new vaccination is needed annually.
2. It is contraindicated to those with an allergy to eggs.
3. It should not be taken if a chronic disease is present.
4. The vaccination is given once after the age of 65 years.
5. Most people who receive the pneumonia vaccination do not need the influenza vaccine.
1. A new vaccination is needed annually.
2. It is contraindicated to those with an allergy to eggs.
Explanation: 1. The flu virus changes annually necessitating a vaccination every year.
2. The flu vaccination should not be taken by those with an allergy to eggs.
3. The flu vaccination should be given to people in high risk groups such as those with a chronic disease.
4. The vaccination is needed annually. The pneumonia vaccination is given once after the age of 65.
5. The flu vaccination is needed to prevent the complication of pneumonia.
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The plan of care for the cancer client includes weekly blood counts. Changes in which of the following laboratory values would be the most likely reason for an order of filgrastim (Neupogen) injection?
A) Thrombocytopenia B) Polycythemia C) Leukopenia D) Anemia
A patient with rheumatoid arthritis has a hemoglobin level of 10 g/dL. The nurse would consider this anemia to be related to inflammation if which other findings are present?
1. The patient has low vitamin B12 levels. 2. Laboratory testing shows elevated hepcidin level. 3. Increased destruction of erythrocytes is occurring. 4. Serum iron levels are low. 5. The patient's stools are guaiac positive.
The nurse assesses for Homans' sign by:
1. Extending the foot and inquiring about calf pain. 2. Extending the leg and inquiring about foot pain. 3. Flexing the knee and inquiring about thigh pain. 4. Dorsiflexing the foot and inquiring about calf pain.
A nurse educator is working with a group of students who are in their first clinical rotation. They have had a particularly busy clinical day
All have felt rushed to complete medication administration as well as personal cares for their assigned clients. Charting has been completed, and they are ready to leave the clinical area for the day. A client on the unit needs medication delivered by a Z-track injection, and the staff nurse asks the instructor if one of the students would like to perform this. The instructor, understanding the important concepts surrounding timing and environment in a learning experience, makes which of the following comments to the staff nurse? A) "Would it be OK if the students observed today? We'll do it next time we're here." B) "I'll check with the students and see if one of them would like to volunteer." C) "We're leaving now, but thanks for asking." D) "It will take me a moment to explain the procedure to the students, since we've not practiced this, but I'll find somebody to administer it."