Which of the following groups is most at risk today for an outbreak of pneumococcal pneumonia?
a. Adolescents who have not yet received their booster shots
b. Persons older than 65 who live in nursing homes and other extended-care facilities
c. Elementary school children who have not been immunized
d. Young adults who have never been exposed to the agent before
ANS: B
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The nurse in the long-term care clinic is reviewing the charts of a group of children being seen for follow-up visits in the pediatric clinic. The nurse recognizes that chronic limitations might result from which diagnosis?
1. Pneumonia from Haemophilus influenzae virus 2. Respiratory syncytial virus 3. Streptococcus pneumoniae, a gram-positive diplococcus 4. Congenital heart defect
A nurse is helping with the discharge of a 92-year-old female patient who has been hospitalized for a serious upper urinary tract infection. The patient will continue taking SMZ-TMP at home. She is to be discharged into her daughter's care
The nurse will instruct the daughter to watch for which of the following most common adverse effects of the drug? A) Urticaria B) Nausea and vomiting C) Photosensitivity reactions D) Jaundice
Horner syndrome is manifested by:
a. proptosis and contralateral mydriasis. b. excessive watering of the eyes. c. blurring of vision when glucose levels fall. d. ipsilateral miosis and mild ptosis.
At 2100, J.O.'s guard summons you to his room. J.O. is pale, slightly confused, and complaining of chest
pain and dyspnea. Vital signs are 90/60, 120, 28, 100.0° F (37.8° C), and Spo2 of 84%. His pulse is weak and thready and there are petechiae on his chest. What do you immediately expect is occurring and why?