During a visit to her nurse practitioner, a 68-year-old client is surprised at the nurse's recommendation of immunizations, stating, "I thought those were only for children and teenagers."
Which of the following statements provides the most accurate rationale for the nurse's recommendation? A) Persons over 65 should receive vaccinations against measles, mumps, rubella, and hepatitis.
B) Older adults should receive annual influenza vaccinations and tetanus and diphtheria boosters every 10 years.
C) The childhood immunization schedule be replicated in beginning at age 65 to ensure adequate antibody titers.
D) Older adults should receive vaccinations if they live in close contact with others who may be or may become infected with infectious diseases.
B
Feedback:
Tetanus and diphtheria vaccinations should be given every 10 years, while an annual flu vaccination is recommended for all older adults, regardless of living situation or proximity to others. Not every older adult requires hepatitis vaccination, and the immunization recommendations for older adults are not a replication of childhood immunizations.
You might also like to view...
A patient prescribed an NSAID, naproxen (Aleve, Naprosyn), for treatment of arthritis reports stomach upset. What should the nurse instruct the patient to do?
a. Notify the prescriber immediately. b. Take the medication with food. c. Take the medication with 8 ounces of water. d. Take the medication before bedtime.
A client with bipolar disorder has had a history of multiple episodes and states, "I'm so frustrated with what's happened because of these episodes." Which of the following would the nurse encourage to help support this client's recovery?
A) Codependence B) Hope C) Self-control D) Independent decision making
A client admitted with heart failure overhears the health care provider discussing plans to "digitalize" the client and asks the nurse what this means. Which response by the nurse is the most appropriate?
1. "The dose of digoxin gradually is increased until the heart tissue is saturated and symptoms of heart failure subside." 2. "You will be given a series of digoxin injections over the next few days." 3. "You will be given increasing doses of digoxin until you reach a toxic level, and then the drug will be stopped." 4. "You are given twice the usual dose of digoxin every day until therapeutic results are seen."
A nurse is assisting with development of menu items at a long-term care facility. Which of the following menus would the nurse most likely recommend?
a. One egg over easy, one slice of whole wheat toast with sugar-free jam, 4 oz orange juice b. 5-oz cheeseburger cooked medium well with lettuce and tomato, 10 baked potato chips, and 1 cup of decaf coffee with low-fat milk and artificial sweetener c. Chef salad with 2 oz each ham and turkey, lettuce, tomato, bean sprouts, onion, green pepper with low-fat dressing, and one small roll with low-fat spread d. Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two teaspoons of low-fat mayonnaise, 10 vegetable chips, and ice tea with artificial sweetener