The 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was 65 is still protecting him. The nurse's most helpful reply is:

a. "Yes. Pneumovax protects you for your lifetime."
b. "No. The immunity afforded you by Pneumovax lasts only 2 years."
c. "Yes, but it loses strength and may not protect you from all 23 pneumococcal or-ganisms anymore."
d. "No. A second dose is needed 6 years af-ter the first for full immunity."


D
Pneumovax, an immunization that protects against 23 pneumococcal organisms, is repeated 6 years after the first dose.

Nursing

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A patient who is 5 feet 9 inches tall and weighs 160 pounds believes that her size-9 feet are enormous compared with the rest of her body

She has visited orthopedic surgeons to see if surgery could reduce the length of her feet, and she spends hours trying to buy shoes that make her feet look smaller. In social situations, she sits with her feet concealed under a table or wears long skirts to hide them. The nurse can assess that the patient's symptoms are consistent with: a. hypochondriasis. b. somatoform pain disorder. c. body dysmorphic disorder. d. depersonalization disorder.

Nursing

When taking the health history of a young client with newly diagnosed guttate psoriasis, the nurse would expect to find:

A) a history of life-threatening complications. B) recent trauma. C) the abrupt removal of corticosteroid medication. D) a recent beta-hemolytic streptococcal uppe

Nursing

A 56-year-old patient is admitted to the critical care unit with acute respiratory distress syndrome (ARDS)

The patient has been intubated and is mechanically ventilated. The patient is becoming increasingly agitated, and the high-pressure alarm on the ventilator has been frequently triggered. The nurse's first intervention for this patient would be to a. administer midazolam (Versed) 5 mg by intravenous push immediately. b. assess the patient to see if a physiologic reason exists for his agitation. c. obtain a stat arterial blood gas level; his agitation indicates he is becoming increasingly hypoxic. d. apply soft wrist restraints to keep him from pulling out the endotracheal tube.

Nursing

Healthy diets should include no more than which percentage of saturated fat based on total calories?

a. 30% b. 10% c. 7% d. 2%

Nursing