A nurse is providing pneumonia vaccinations in a community setting. Due to limited finances, the ...

A nurse is providing pneumonia vaccinations in a community setting. Due to limited finances, the event organizers must limit giving the vaccination to priority groups.
 
  What clients would be considered a priority when administering the pneumonia vaccination? (Select all that apply.)
  a.
  22-year-old client with asthma
  b.
  Client who had a cholecystectomy last year
  c.
  Client with well-controlled diabetes
  d.
  Healthy 72-year-old client
  e.
  Client who is taking medication for hypertension

Question 2

A nurse admits a client from the emergency department. Client data are listed below:
 
  History
  Physical Assessment
  Laboratory Values
  70 years of age
  History of diabetes
  On insulin twice a day
  Reports new-onset dyspnea and productive cough
  Crackles and rhonchi heard throughout the lungs
  Dullness to percussion LLL
  Afebrile
  Oriented to person only
  WBC: 5,200/mm3
  PaO2 on room air 65 mm Hg
  What action by the nurse is the priority?
  a.
  Administer oxygen at 4 liters per nasal cannula.
  b.
  Begin broad-spectrum antibiotics.
  c.
  Collect a sputum sample for culture.
  d.
  Start an IV of normal saline at 50 mL/hr.

Question 3

A client is admitted with suspected pneumonia from the emergency department. The client went to the primary care provider a few days ago and shows the nurse the results of what the client calls an allergy test, as shown below:
 
  What action by the nurse takes priority?
  a.
  Assess the client for possible items to which he or she is allergic.
  b.
  Call the primary care provider's office to request records.
  c.
  Immediately place the client on Airborne Precautions.
  d.
  Prepare to begin administration of intravenous antibiotics.

Question 4

A client is in the family medicine clinic reporting a dry, sore throat. The provider asks the nurse to assess for odynophagia. What assessment technique is most appropriate?
 
  a. Ask the client what foods cause trouble swallowing.
  b. Assess the client for pain when swallowing.
  c. Determine if the client can swallow saliva. d.
  Palpate the client's jaw while swallowing.

Question 5

A client has the diagnosis of valley fever accompanied by myalgias and arthralgias. What treatment should the nurse educate the client on?
 
  a. Intravenous amphotericin B
  b. Long-term anti-inflammatories
  c. No specific treatment
  d. Oral fluconazole (Diflucan)

Question 6

A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. The client is so exhausted after coughing that work has become impossible. What action by the nurse is most appropriate?
 
  a. Arrange for immediate hospitalization.
  b. Facilitate polymerase chain reaction testing.
  c. Have the client produce a sputum sample.
  d. Obtain two sets of blood cultures.