A male patient, aged 78 presents in the emergency department after stepping on a nail. The patient tells the nurse that he had his last tetanus shot 12 years ago and asks whether he will need another shot today
The nurse explains that tetanus boosters are required how often? A) Yearly
B) Every 10 years
C) Every 2 years
D) Every 5 years
B
Feedback:
Having a tetanus booster shot every 10 years will help to protect older adults from exposure to that illness. Ask the patient about any adverse reaction to previous tetanus boosters, and weigh that risk against the possible exposure to tetanus. Options A, C, and D are incorrect information to give the patient.
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A nurse cares for a client who is recovering from a myocardial infarction. The client states, "I will need to stop eating so much chili to keep that indigestion pain from returning." How should the nurse respond?
a. "Chili is high in fat and calories; it would be a good idea to stop eating it." b. "The provider has prescribed an antacid for you to take every morning." c. "What do you understand about what happened to you?" d. "When did you start experiencing this indigestion?"
The nursing instructor is observing a student nurse who is performing abdominal palpation on an adult client. In order to assess organs that lie deep within the abdominal cavity (e.g., kidneys, spleen),
the student nurse should press on the client's abdomen using which of the following techniques? 1. Downward pressure of 1–2 cm using the finger pads 2. Side to side pressure of ½–1 cm using the finger pads 3. Downward pressure of 2–4 cm using the palmar surface of the fingers 4. Light pressure using the base of the fingers (metacarpophalangeal joints)
The client is given a prescription for hormone replacement therapy (HRT). She asks the nurse, "What type of side effects or consequences should I expect from taking this medicine?" The nurse's best response would be: "You may
A. Notice chest pains initially that will subside." B. Experience irregular, heavy menstrual bleeding." C. Notice some intermittent abdominal cramping." D. Have a decrease in vaginal dryness."
A disease of the colon and rectum characterized by inflammation and ulceration with alternating periods of remissions and exacerbations is which condition?
A. Crohn's disease B. ulcerative colitis C. peritonitis D. irritable bowel syndrome