Ivan W. is a 65-year-old man who is new to your practice. He has a history of COPD, CAD, hypertension, and type 2 diabetes mellitus. He has had no immunizations since his discharge from the military at age 25
Childhood diseases included chickenpox, measles, mumps, and "German measles." He presents for a disease management visit. Which of the following immunizations would you recommend for Ivan?
A. MMR, influenza, pneumococcal, Zostavax
B. Influenza, pneumococcal, PPD, Hepatitis B
C. Tdap, pneumococcal, influenza, Zostavax
D. Hepatitis B, influenza, pneumococcal, Hepatitis A
C
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The nurse caring for several patients on the surgical unit of the hospital. The nurse knows that constipation can be a significant health hazard and encourages the postoperative patients to drink fluids
Which one of the following patients is most at risk from complications related to constipation? a. A 35-year-old man with back surgery b. A 47-year-old woman with an abdominal hysterectomy c. A 29-year-old women with carpal tunnel surgery d. A 77-year-old man with hip surgery
A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary
Based on the assessment data, which nursing diagnosis is most appropriate at this time? a. Grieving related to current loss of functional vision b. Anxiety related to the possibility of permanent vision loss c. Situational low self-esteem related to loss of visual function d. Risk for falls related to inability to see environmental hazards
The nurse, providing medications to a patient with multiple sclerosis, realizes that the goals of medication therapy for this patient include
1. modifying the progression of the disease. 2. treating acute exacerbations. 3. managing symptoms. 4. curing the disease. 5. remyelinating nerve fibers.
Which renal change is found in older adults?
a. Sharp decline in glomerular filtration rate b. Sharp decline in renal blood flow c. Decrease in the number of nephrons d. Decrease in urine output