An older patient is refusing to receive the influenza and pneumococcal vaccinations because he believes he is "too old." How should the nurse respond to this patient?
1. "I understand your feelings."
2. "I will report your concerns to the physician."
3. "You are likely to get sick if you do not take the vaccines."
4. "It is never too late in life to begin health promotion activities."
4. "It is never too late in life to begin health promotion activities."
Explanation: 1. Telling the patient that the nurse understands the patient's feelings does not help the patient understand the importance of health promotion activities.
2. Reporting the concerns to the physician does not help the patient understand the importance of health promotion activities.
3. While the patient has an increased likelihood of developing an illness if the vaccines are not taken, stating this does little to meet the patient's voiced concerns.
4. Receiving vaccinations for communicable diseases is a form of health promotion. The patient should be advised that age should not restrict health-saving activities.
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Many of the clinical features of Down syndrome present challenges to caregivers. Based on these features, what intervention should be included in the child's care?
a. Delay feeding solid foods until the tongue thrust has stopped. b. Modify the diet as necessary to minimize the diarrhea that often occurs. c. Provide calories appropriate to the child's mental age. d. Use a cool-mist vaporizer to keep the mucous membranes moist and secretions liquefied.
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A child has been admitted with assessment findings suggestive of hemophilia. Which laboratory test would the nurse evaluate as supporting that diagnosis?
1. Decreased red blood cell count on CBC 2. Prolonged partial thromboplastin time (aPTT) 3. Decreased factor VI 4. A positive d-dimer