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

This statement indicates an understanding of the teaching because headache is a common symptom of anemia.

Choice B is incorrect because bradycardia (slow heart rate) is not a common symptom of anemia.
Instead, anemia can cause irregular heartbeats or a fast heartbeat.
Choice Dis incorrect because flushed skin color is not a common symptom of anemia.
Instead, anemia can cause pale or yellowish skin 1.
Choice Cis incorrect because heat intolerance is not a common symptom of anemia.

A. Apply an occlusive dressing. B. Turn and reposition the client every 4 hr. C. Support bony prominences with pillows. D. Massage the reddened areas three times daily.

Correct Answer is C

Explanation

The nurse should include this intervention in the plan of care because it can help relieve pressure on the reddened areas over the client’s bony prominences and prevent the development of pressure injuries.
Choice A is incorrect because applying an occlusive dressing to intact skin over bony prominences is not an appropriate intervention for preventing pressure injuries.
Choice B is incorrect because turning and repositioning the client every 4 hours may not be frequent enough to prevent the development of pressure injuries.
The client should be turned and repositioned more frequently, at least every 2 hours.
Choice D is incorrect because massaging reddened areas over bony prominences is not recommended as it can cause further damage to the skin and underlying tissues.

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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 has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?

Correct Answer is A

Explanation

A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer to try vitamins and minerals instead of chemotherapy." Which of the following responses should the nurse make?

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.).