A gerontologic nurse is overseeing the care that is provided in a large, long-term care facility. The nurse is educating staff about the significant threat posed by influenza in older, frail adults
What action should the nurse prioritize to reduce the incidence and prevalence of influenza in the facility?
A) Teach staff how to administer prophylactic antiviral medications effectively.
B) Ensure that residents receive a high-calorie, high-protein diet during the winter.
C) Make arrangements for residents to limit social interaction during winter months.
D) Ensure that residents receive influenza vaccinations in the fall of each year.
Ans: D
Feedback:
The influenza and the pneumococcal vaccinations lower the risks of hospitalization and death in elderly people. The influenza vaccine, which is prepared yearly to adjust for the specific immunologic characteristics of the influenza viruses at that time, should be administered annually in autumn. Prophylactic antiviral medications are not used. Limiting social interaction is not required in most instances. Nutrition enhances immune response, but this is not specific to influenza prevention.
You might also like to view...
Which statement best describes the rule regarding expert testimony in nursing malpractice cases?
1. Expert testimony is always required in nursing malpractice suits, and the injured party cannot win his or her case without expert testimony being presented. 2. Whether expert testimony is needed is decided on a case-by-case basis after analyzing the facts of the case. 3. Expert testimony should be presented whenever there is reason to suspect that the jury will decide in favor of the injured party if expert testimony is not presented. 4. The jury is permitted to decide, based on all the evidence submitted, whether expert testimony is needed.
The manipulative patient approaches the nurse and says, "I know it's too early to give me my pain medication, but you are the only one who seems to care. Could you give me my pain medi-cation now?" The best response would be:
a. "The charge nurse is really tough about scheduled medications. She would be very angry with me if I gave you the medica-tion now." b. "I know how it is when you are in pain. I'll give you your medication early." c. "Your medication is due in 2 hours. I will be glad to give it to you on schedule." d. "It makes me feel good to know you are appreciative of our care. Here is your me-dication."
A patient has been in the ICU for 20 days with a diagnosis of sepsis and acute respiratory distress syndrome
The patient is ready for transfer to the step-down unit but is apprehensive. The patient has communicated to the nurse that he does not want to leave the ICU because he is afraid that his needs will not be met on the step-down unit. Which educational objective would be best to use in this situation? a. The patient will state two reasons why he is being transferred by the end of the day. b. The patient will confront his fears and deal with them within 1 day of transfer. c. The patient will state the name of his "new" nurse by the end of the day. d. The patient will be introduced to at least two of his "new" caregivers by the time of transfer.
Which of the following presents on the ECG as chaotic indistinguishable waves caused by multiple ectopic and reentry paths originating from many different areas in the ventricle walls, yet has no recognizable rhythm or pattern??
A) Ventricular tachycardia B) Premature ventricular complex C) Idioventricular rhythm D) Ventricular fibrillation