Which group of patients should a nurse advise to have a vaccination with conjugated pneumo-coccal?
a. Adults with diabetes
b. Persons 65 years and older
c. Parents of children younger than 24 months
d. Persons with cardiovascular disorders
C
The conjugated product is especially designed for young children. Unconjugated vaccine is rec-ommended for older adults and those with cardiovascular disorders.
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An older client tells the nurse that in order to have a daily bowel movement, the client uses laxatives most days of the week. What should the nurse tell this client?
1. Normal patterns of elimination are different for everyone. 2. Increase fiber intake to 20–35 grams a day. 3. Engage in enjoyable exercise. 4. Ignore the urge to have a bowel movement. 5. Drink six to eight glasses of fluid daily.
Which of the following buffer pairs is considered the major plasma buffering system?
a. Protein/fat b. Carbonic acid/bicarbonate c. Sodium/potassium d. Amylase/albumin
What assessment can be made when a client describes the nurse by saying, "Her words and her facial expression go together to give me the same message"? The nurse:
1. Is empathetic 2. Is assertive 3. Conveys positive regard 4. Uses congruent communication
The nurse is assessing the skin of a patient with ESKD. Which clinical manifestation is considered a sign of very late, premorbid, advanced uremic syndrome?
a. Ecchymoses b. Sallowness c. Pallor d. Uremic frost