An older adult patient asks the nurse how often one should receive the pneumococcal vaccine for pneumonia prevention. What is the nurse's best response

a. Every year when the patient is receiving the "flu shot"
b. The standard is vaccination every 3 years
c. It is usually given once, but some older adults may need a second vaccination after 5 years
d. There is no set schedule; it depends on the patient's history and risk factors


Answer: c. It is usually given once, but some older adults may need a second vaccination after 5 years

Nursing

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Which of the following patients would have a very poor response related to tissue regeneration of his or her injured area?

A) A 21-day-old infant undergoing a diaphragmatic hernia repair B) A 54-year-old male who had a massive MI 4 days ago and came to the ED today for treatment C) A 73-year-old female who is undergoing lithotripsy for kidney stones D) A 33-year-old athlete undergoing surgery to repair a torn MCL in his right knee

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A nurse is trying to keep a confused resident from removing a feeding tube by following the "rule of least restriction." What should replace the wrist restraint?

a. Mittens b. Vest restraint c. Administration of a mild sedative d. Tightly tucked sheet

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The fifth vital sign is:

a. pain. b. orientation. c. waist-to-hip ratio. d. body mass index (BMI).

Nursing

The incentives and pressures for cost control and improved health outcomes have increased the development and use of telehealth technology in the home setting. Telehealth:

1. Uses WebTV to teach clients about their health 2. Includes sharing health information between the client and clinicians using elec-tronic communications 3. Requires home health nurses to make regular visits to clients to check the tech-nology 4. Often violates the Health Insurance Portability and Accountability Act (HIPAA) laws because information can be shared easily

Nursing