The community health nurse is providing information to elderly clients in the community regarding health tests and screening. Which of the following would be recommended for these clients? (Select those that apply.)
1. Annual hearing screen
2. Annual total cholesterol and HDL protein measurement
3. Annual vision screen
4. Annual flu vaccine
5. Annual pneumococcal vaccine after age 65
Correct Answer: 1,3,4
Rationale: Total cholesterol and HDL protein measurement every 3 to 5 years until age 75 is recommended. Pneumococcal vaccine is recommended at age 65, then every 10 years thereafter. Other recommendations include a daily aspirin, 81 mg, if in a high-risk group; diabetes mellitus screen every 3 years, if in a high-risk group; smoking cessation; mammography screen every 1 to 2 years for women; clinical breast exam yearly for women; Pap smear annually if there is a history of abnormal smears or previous hysterectomy for malignancy; annual digital rectal exam; annual PSA for men; annual fecal occult blood test; depression screen, periodically; family violence screen, periodically; annual height and weight measurements; STD testing, if in a high-risk group; annual flu vaccine, if over 65 or in a high-risk group; Td vaccine every 10 years.
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