A nurse in a clinic is providing preventive teaching to an older adult client during a good visit.

The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.).

Pneumococcal polysaccharide.

Meningococcal.

Human papillomavirus.

Influenza.

Herpes zoster.

Answer and Explanation

Correct Answer : A,D,E

“Influenza,” and “Herpes zoster.” These statements indicate an understanding of the teaching because these immunizations are recommended for healthy adults after age 60.

Choice B is incorrect because the meningococcal vaccine is not typically recommended for healthy adults after age 60.

Choice C is incorrect because the human papillomavirus (HPV) vaccine is not typically recommended for healthy adults after age 60.

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Correct Answer is A

Explanation

Place two-bed pillows between the legs when in bed.
To prevent hip dislocation after total hip arthroplasty, the nurse should place two-bed pillows between the client’s legs when in bed.
This helps maintain proper alignment and prevent the hip from dislocating.
Choice B is incorrect because leaning forward when attempting to stand can increase the risk of hip dislocation.
Choice C is incorrect because removing the wedge device when turning can increase the risk of hip dislocation.
Choice D is incorrect because elevating the knees higher than the hips when sitting can increase the risk of hip dislocation.

A. Check potassium levels. B. Begin bicarbonate continuous IV infusion. C. Initiate a continuous IV insulin infusion. D. Administer 0.9% sodium chloride.

Correct Answer is D

Explanation

The correct answer isChoice D.

Choice A rationale:Checking potassium levels is important in the management of DKA, but it is not the priority intervention.The priority intervention is to restore intravascular volume with fluid resuscitation

Choice B rationale:Bicarbonate infusion is not the priority intervention in the management of DKA.It is used only in severe cases of metabolic acidosis

Choice C rationale:Initiation of a continuous IV insulin infusion is an important intervention in the management of DKA, but it is not the priority intervention.The priority intervention is to restore intravascular volume with fluid resuscitation

Choice D rationale:Administering 0.9% sodium chloride is the priority intervention in the management of DKA.It is used to restore intravascular volume and correct electrolyte imbalances

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A nurse in a clinic is providing preventive teaching to an older adult client during a good visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation?

Correct Answer is A

Explanation

A nurse is caring for a client in diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

Correct Answer is D

Explanation

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A nurse in a clinic is providing preventive teaching to an older adult client during a good visit.

The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.).