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ben.kenobi24 ben.kenobi24
wrote...
Posts: 555
Rep: 2 0
6 years ago
The nurse discusses the influenza vaccination with a group of older adults. An 87-year-old speaks up and says I had the flu vaccine last October, and I still got the flu..
 
  Which of the following statements if made by the nurse most accurately relates to the person's situation? A) You should receive the live attenuated influenza vaccine (LAIV) nasal spray instead..
  B) The recommendation would be for you to not get the vaccine this year, because it did not prove effective in you last year..
  C) I would advise you to get the vaccine earlier in the fall to improve its effectiveness..
  D) Although the vaccine did not prevent influenza, it probably reduced the severity of the infection..

Question 2

An 80-year-old patient who has just spent 2 days at the beach with his family is demonstrating confusion, dry skin, a dry brown tongue, sunken cheeks, and concentrated urine. What health problem do the patient's symptoms most likely indicate?
 
  A) Dehydration
  B) Renal failure
  C) Hyperthermia
  D) Food poisoning

Question 3

You are a nurse working on a bone marrow transplant (BMT) unit. Your patient is scheduled to receive a bone marrow transplant. What information will you provide to the patient's visitors?
 
  A) Bring plants to improve air quality.
  B) Take the patient to the cafeteria for meals.
  C) Wear hospital scrubs when entering the patient's room.
  D) Do not visit if they've had a recent infection.

Question 4

Pediatric patients, especially girls, are susceptible to urinary tract infections because
 
  a. genetically females have a weaker immune system.
  b. females have a short and proximal urethra in relation to the vagina.
  c. girls are more sexually active than males.
  d. girls have a weakened musculature and sphincter tone.

Question 5

A 64-year-old requests an injection of flu vaccine because her 90-year-old mother died last year from the flu. What is the influenza-related respiratory complication that could have contributed to the mother's death?
 
  A) Complications of COPD
  B) Complications related to asthma
  C) Inability to clear mucus from the lungs
  D) Lack of obvious symptoms leading to complications

Question 6

A 75-year-old patient and his 40-year-old daughter both have an intestinal virus with complaints of vomiting and diarrhea. Why is the nurse concerned about the patient being at risk for dehydration?
 
  A) The patient is on a fixed income
  B) The virus will make changes to the patient's gastrointestinal system
  C) The vomiting and diarrhea will cause a reduction in intracellular fluids
  D) The patient does not want to bother a health care professional for a common virus
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2 Replies

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Replies
wrote...
6 years ago
Answer to #1

D
Feedback:
Although the elderly have lower antibody titers after vaccination than younger adults, vaccination can prevent severe complications associated with influenza, even if it does not prevent the disease itself. The LAIV is for those aged 2 through 49.

Answer to #2

A
Feedback:
The nurse has identified the signs of dehydration in older adults. The manifestations of confusion, dry skin, dry brown tongue, sunken cheeks, and concentrated urine may or may not indicate renal failure, hyperthermia, or food poisoning.

Answer to #3

D

Answer to #4

B
Pediatric patients, especially girls, are susceptible to urinary tract infections because of the short urethra.

Answer to #5

C
Feedback:
Influenza destroys ciliated epithelial cells of the respiratory tract and depresses mucociliary clearance. The other cited factors are less likely to have contributed.

Answer to #6

C
Feedback:
The patient is at risk because of his age. With age, intracellular fluid is lost, resulting in decreased body fluids. Water makes up 50 or less of body weight in older adults, compared with 60 in younger adults. An increase in water loss could be life-threatening to an older person. The nurse's concern has nothing to do with the patient's income. The virus will not make changes to the patient's gastrointestinal system. There is not enough information to determine that the patient does not want to bother the nurse for a common virus.
ben.kenobi24 Author
wrote...
6 years ago
What an excellent community, thanks for answering
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