An older patient with a history of lung disease had a pneumococcal vaccination 10 years ago. What should be done for this patient?
A. Draw a blood culture.
B. Remind the patient that he needs a booster in 5 years.
C. Suggest that the patient have a pneumococcal booster during this visit.
D. Remind the patient that he does not need a flu vaccination.
Answer: C
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When an older adult lives with family members, which of the following principles would not be appropriate for the nurse to apply in assisting the family to promote quality of life for their older loved one?
a. help them recognize their own needs and limitations b. provide referrals to community resources c. recommend nursing home placement immediately to avoid stress d. respect all family caregivers as an important part of the team
The client is a 20-year-old African American male admitted with sickle cell crisis. The physician orders a low dose of medication that does not resolve the client's pain
When the nurse questions the order, the physician explains that African American males in this age range are likely to abuse drugs. What is the nurse's best response or action? A. Administer the medication as ordered. B. Assist the client to use additional pain relief measures, such as guided imagery and distraction. C. Explain to the client that the lower doses are better for him in the long run so that he will not build up a tolerance to the medication. D. Ask the physician to consult with the pain control specialist or sickle cell clinic to best meet this client's needs for pain relief.
The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit. The client has had the following intake and output during the shift:
Intake: 4 oz of Pedialyte ½ of an 8-oz cup of clear orange Jell-O 2 graham crackers 200 mL of D 5 ½ sodium chloride IV Output: 345 mL of urine 50 mL of loose stool The nurse documents the client's intake as ____ milliliters. What will be an ideal response?
The nurse is assessing a newly admitted patient who is 32 weeks' gestation. The patient's chief complaints are sudden onset of intense nausea and a frontal headache for the past two days
The patient's initial blood pressure is 158/98 and she reports scant urination over the past 24 hours. Which intervention should the nurse anticipate implementing? 1. Placing a wedge under the patient's left hip so that she is in a right lateral tilt position 2. Administration of diuretics and facilitating a dietary regimen of strict sodium restriction 3. Conducting a urine dipstick test to assess for proteinuria 4. Ordering a low-protein diet plan for the patient