An older adult client says, "I need to get a shot so that I'll never get pneumonia again." The most helpful response by the nurse would be
a. "Immunization for pneumonia must be repeated every year."
b. "Most older people get flu shots, but they don't protect you from pneumonia."
c. "Pneumovax vaccine can protect you against one type of pneumonia."
d. "You cannot get a shot, or immunization, for pneumonia."
C
The nurse should ask older adults about immunization against pneumonia (polyvalent pneumo-coccal vaccine, Pneumovax) and influenza. Ask the client to list the dates of these immunizations. Pneumovax provides lifelong immunity against pneumococcal pneumonia, whereas "flu shots" must be received annually in the fall.
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A patient in the intensive care unit has pulled out her peripheral intravenous line twice and continually picks at her abdominal dressing. How should the nurse describe this behavior?
1. As hyperactive dementia 2. As hyperactive delirium 3. As hypoactive delirium 4. As mixed dementia
A patient is to receive 14 mL in 12 minutes using a microdrip set. Calculate the gtt/min to the nearest whole number
What will be an ideal response?
The nurse is caring for a woman who is 3 hours post-vaginal delivery of twins born at 38 weeks' gestation. The nurse recognizes an increased risk for which of the following?
a. Hemorrhage b. Postpartum depression c. Fatigue d. Milk production
The labor and delivery nurse is caring for a client whose labor is being induced due to fetal death in utero at 35 weeks' gestation. In planning intrapartum care for this client, which nursing diagnosis is most likely to be used?
A. Powerlessness B. Ineffective elimination C. Effective family coping D. Energy field disturbance