A 74-year-old man asks a nurse if he needs to get revaccinated with the pneumococcal vaccine because he has not had one for 2 years. What is the most informative response by the nurse?
a. "Yes. You should have the pneumonia vaccine every year."
b. "No. One vaccination for pneumonia is all you need."
c. "Yes. Every year they alter the vaccine to include more infectious organisms."
d. "No. You only need to be revaccinated every 5 years."
D
Pneumonia revaccination should be given every 5 years.
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A patient with Cushing's disease undergoes irradiation of the pituitary gland. During the months required for the irradiation to produce its effect on the pituitary gland, the patient may be treated adjunctively with:
a. dexamethasone. b. fludrocortisone acetate. c. ketoconazole. d. cosyntropin.
Which intervention should be incorporated in a plan of care for a labor client who is experiencing hypertonic labor? Vaginal exam is unchanged from prior exam—3 cm, 80% effaced, and 0 station presenting part vertex
a. Augmentation of labor with oxytocin (Pitocin) b. AROM c. Performing a vaginal exam to denote progress d. Preparing the client for epidural administration as ordered by the physician
A client is being discharged after a 23-hour stay for a surgical procedure. When preparing the instructions for this client, what does the nurse need to do?
1. Ensure the client's safe transition to home. 2. Include information about what the client has been taught. 3. Include what the client still needs to learn when discharged. 4. Check the client's insurance for hospitalization coverage. 5. Call the client's prescriptions in to the client's local pharmacy.
A Stage III pressure ulcer shows
A. full-thickness skin loss extending to the muscle, tendon, or bone. B. a highly defined area or red, shiny, intact skin. C. full-thickness skin loss with damage of subcutaneous tissue. D. partial-thickness skin loss with an abrasion or blistered surface.