The nurse recommends the influenza vaccination to a 72-year-old woman who is the primary caregiver of her elderly mother who has Alzheimer's disease. Which instruction should the nurse include in the teaching plan for this vaccine?
A) The vaccine is not needed because chronic stress boosts the immune response.
B) Older adult caregivers have an accentuated immune response to influenza vaccine.
C) Chronic stress may blunt the efficacy of the influenza vaccine in older adults.
D) The effects of chronic stress on the immune system improve immediately when the stress is removed.
C) Chronic stress may blunt the efficacy of the influenza vaccine in older adults.
Explanation: A) Studies demonstrate that people who report higher levels of stress exhibit lower levels of protective antibodies against microbial pathogens including influenza, hepatitis B, and pneumonia.
B) Studies of older adults, who experienced chronic stress as caregivers for family members suffering from dementia, exhibit a blunted antibody response to influenza vaccines and to bacterial pneumonia vaccines when compared to matched control individuals.
C) Studies of older adults, who experienced chronic stress as caregivers for family members suffering from dementia, exhibit a blunted antibody response to influenza vaccines and to bacterial pneumonia vaccines when compared to matched control individuals.
D) The deficits in antibody response persisted years after the family member had died, suggesting that chronic severe stressors may have long-term adverse consequences on the immune system.
You might also like to view...
The nurse is addressing exercise and physical activity during discharge education with a patient diagnosed with HF. What should the nurse teach this patient about exercise?
A) "Do not exercise unsupervised." B) "Eventually aim to work up to 30 minutes of exercise each day." C) "Slow down if you get dizzy or short of breath." D) "Start your exercise program with high-impact activities."
A 65-year-old patient who receives glucocorticoids for arthritis is admitted to the hospital for treatment of a urinary tract infection. The prescriber has ordered intravenous ciprofloxacin [Ci-pro]
Before administering the third dose of this drug, the nurse reviews the bacterial culture re-port and notes that the causative organism is Escherichia coli. The bacterial sensitivity report is pending. The patient complains of right ankle pain. What will the nurse do? a. Withhold the dose of ciprofloxacin and notify the provider of the patient's symp-toms. b. Instruct the patient to exercise the right foot and ankle to minimize the pain. c. Question the patient about the consump-tion of milk and any other dairy products. d. Request an order to increase this patient's dose of glucocorticoids.
When a client is diagnosed with gonorrhea, which treatment regime is considered MOST effective?
a. a single dose of ciprofloxacin, followed by a 7-day course of oral doxycycline b. a single injection of penicillin G benzathine c. doxycycline 100 mg orally, twice daily for 7 days d. treatment of symptoms only with acyclovir
A patient asks the nurse why an anticoagulant has been prescribed. What is the nurse's best response?
a. "It will dissolve any clots in your blood vessels." b. "It will prevent any new clots from forming." c. "It will prevent a clot from migrating." d. "It will thin your blood."