An older patient asks the purpose of receiving an annual flu vaccination if the pneumonia vaccination was received just a few years ago. How should the nurse respond to this patient?
1. "That is an error and it is not necessary."
2. "Everyone needs a flu vaccination regardless of age."
3. "Pneumonia can develop as a complication from the flu."
4. "The incidence of flu is higher in older people than younger people."
3
Rationale: More than 90% of the deaths during previous U.S. influenza epidemics were attributed to pneumonia as a complication of influenza. The vaccine reduces influenza-related morbidity and mortality by 70% to 90% among vaccinated individuals. The need to get a flu vaccination is not in error.
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A clinical specialist supervises therapy for a 26-year-old African American client originally from Haiti who was admitted for depression. A staff nurse tells the clinical specialist that " The client can't seem to express her feelings when I ask about them. She just looks down.". The nurse adds, "But I've seen her talking to a young African American client, and she seems quite spontaneous.". What remark by the clinical specialist would help the staff nurse develop cultural competence?
a. "Why not ask the other client to tell you what your client tells him. Once you have an opening, your client will become more spontaneous with you.". b. "Don't take it personally. African Americans often have a resentful attitude that takes weeks to overcome.". c. " She may have difficulty communicating her feelings in standard English. Have you considered using a cultural translator?" d. "Most African Americans depend on the African American church for support. Why not ask her pastor to come in to pray with the two of you for the success of her treatment?"
How do histamine (H2) blockers help heal gastric ulcers?
a. They promote cell division. b. They neutralize acids that are present in the stomach. c. They decrease the amount of acid secreted by stomach cells. d. They increase the rate that stomach contents move into the intestinal tract.
At what time during the relationship, does the woman usually disclose a situation to the midwife that may require referral?
a. during the booking interview b. once a strong relationship has been established c. about halfway through the pregnancy d. when labour begins
If a patient has been drinking hot coffee, how long should you wait before taking the temperature orally?
A. 5 minutes B. 15 minutes C. 20 minutes D. 30 minutes