A nurse is presenting healthy living information to a group of older adults. Which of the following vaccines should the nurse recommend?
Zoster
Rotavirus
Human papillomavirus
Inactivated poliovirus
The Correct Answer is A
A. Zoster: The zoster vaccine is recommended for older adults, typically starting at age 50 or 60 depending on the specific vaccine formulation (e.g., Shingrix), to prevent shingles and its complications. Older adults are at greater risk for shingles due to declining immunity with age.
B. Rotavirus: The rotavirus vaccine is given in infancy to prevent severe diarrhea caused by the virus. It is not indicated for older adults as they are not at high risk of contracting or being seriously affected by rotavirus.
C. Human papillomavirus: HPV vaccination is primarily recommended for adolescents and young adults, usually up to age 26. It may be considered up to age 45 based on risk, but it is not routinely recommended for older adults.
D. Inactivated poliovirus: The inactivated poliovirus vaccine is typically administered in childhood. Adults rarely need it unless they are traveling to areas where polio is endemic or are at occupational risk, making it unnecessary for routine older adult vaccination.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Refer the clients for financial assistance to receive medications: While financial support is important for accessing treatment, it is not the immediate priority during an active outbreak. The nurse must first assess the scope and potential cause of the diarrhea to prevent further spread and guide appropriate interventions.
B. Arrange for the clients to see a health care provider: Medical evaluation is essential, especially if symptoms worsen or complications arise. However, this step should follow a thorough assessment of exposure to identify patterns, potential sources, and the need for urgent containment or broader screening efforts.
C. Provide teaching about hand washing for the clients: Hand hygiene is critical in preventing the transmission of infectious diarrhea. However, client education should come after identifying the exposure route to ensure teaching is targeted and effective in addressing the specific mode of transmission.
D. Obtain an individual client exposure history: The nurse’s first priority should be to gather detailed information about each client's symptoms, recent meals, travel, and contacts. This assessment helps identify common exposures, guides immediate containment efforts, and directs appropriate medical or public health responses to control a potential outbreak.
Correct Answer is ["C","D","E"]
Explanation
A. Use a family member as an interpreter when discussing services: Using a family member as an interpreter can lead to miscommunication, privacy issues, and misinterpretation of medical information. Professional interpreters should always be used to ensure accurate and confidential communication.
B. Explain that the client must use the available resources: Forcing a client to use services without considering their cultural values and personal preferences is not culturally competent care. This approach can alienate the client and reduce trust in the healthcare system.
C. Learn more about the client's values: Understanding the client’s cultural values helps the nurse tailor interventions and communication in a way that respects the client’s worldview and fosters trust in the nurse-client relationship.
D. Support the client as the owner of their own healthcare: Empowering the client promotes autonomy and respects their cultural beliefs, leading to more personalized and respectful care, which is key in culturally competent practice.
E. Review the client’s current health practices: Learning about the client’s existing health behaviors helps the nurse understand how cultural beliefs influence health decisions and how to integrate care without disrupting practices important to the client.
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