The outpatient clinic nurse is collecting a health history on a 78 year-old patient who has a history of emphysema. It is most important for the nurse to advise this patient to receive which annual immunization?
a. Tetanus
b. Influenza
c. Pneumonia
d. Hepatitis B
B
The CDC recommends that older adults, people with respiratory impairment, and health care workers acquire an annual influenza immunization. A pneumonia vaccination is important for this patient, but it is not given on a yearly basis. Tetanus and hepatitis B are recommended for most individuals but are not given annually.
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During a physical assessment, the nurse notes a patient passes frequent loose liquid stools. The nurse should document that the patient is experiencing:
a. dyspnea. b. cyanosis. c. diaphoresis. d. diarrhea.
The nurse identified the members of the planning group for the community health program. The next step the nurse should take is to:
1. Prioritize the issues. 2. Analyze the issue. 3. Develop the program. 4. Start the evaluation.
The sexual assault nurse examiner at the hospital is an advanced practice nurse with prescription
privileges. The activity that would be outside the scope of practice of this nurse is a. collecting and preserving evidence. b. obtaining signed consents for photographs and examinations. c. providing pregnancy and sexually transmitted disease prophylaxis if the client wishes. d. requiring HIV testing of a victim.
A 16-year-old female presents at the emergency department complaining of right lower quadrant pain. She is diagnosed with appendicitis. When assessing this patient, what signs or symptoms should the nurse expect to find?
A) Rigid abdomen, Levine's sign, pain relief leaning forward B) Rebound tenderness, McBurney's sign, low-grade fever C) Right lower quadrant pain, Chvostek's sign, muscle guarding D) Periumbilical pain, Trousseau's sign, pain relief with pressure