The nurse is preparing to administer influenza immunizations to a group of clients. Which clients should the nurse question before providing the vaccination?
1. Naturally immune
2. Elderly
3. Immunosuppressed
4. Not exposed to the influenza virus
Answer: 3
1. Natural immunity doesn't occur, because strains of influenza change yearly.
2. The elderly are advised to have yearly influenza immunizations.
3. Reactions to the vaccine can be enhanced in the immunocompromised client.
4. The vaccine is given to stimulate antibody production in case the person is exposed to the virus.
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Obtaining a 12-lead ECG before treating ST segment elevation is important because:
1. The abnormality will subside and an important diagnostic indicator is lost. 2. There is no importance; an ECG may be obtained after treatment has been initiated. 3. It determines the mortality rate for MIs. 4. It is associated with Q wave changes.
Peptic ulcer disease is treated primarily with
1. pharmacotherapy. 2. exercise. 3. a combination of lifestyle changes and pharmacotherapy. 4. diet.
The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
A) "I'm so upset; my husband has never left me like this before." B) "I'm confused and hurt; I have lost my best friend and my lover." C) "I don't understand; I can't seem to function like I usually do." D) "No matter what I do, I am still overcome by these sad feelings."
Which of the following questions by a depressed, inpatient, psychiatric–mental health client should the nurse interpret as a potential suicide clue?
A) "Are patients allowed to keep drugstore medications at their bedside?" B) "When is my next schedule ECT session?" C) "When do you think the doctor will let me get my street clothes back?" D) "Are we allowed to use the patient kitchen whenever we want?"