A public health nurse will be administering immunizations at a clinic. Which of the following will the nurse want to ask each client before administering the vaccine to ensure safety?
If they have an immunization card for documentation.
If there are any questions regarding the client's vaccine schedule.
If they have a site preference for vaccine administration.
If they have had any past issues or allergies to the vaccine.
The Correct Answer is D
Choice A Reason:
Asking if the client has an immunization card for documentation is important for record-keeping and ensuring that the client's vaccination history is up-to-date. However, this question does not directly address the safety of administering the vaccine. The primary concern for safety is identifying any potential allergies or adverse reactions.
Choice B Reason:
Inquiring if there are any questions regarding the client's vaccine schedule is helpful for clarifying any doubts and ensuring the client understands their vaccination plan. While this is important for overall vaccine management, it does not specifically address immediate safety concerns related to administering the vaccine.
Choice C Reason:
Asking if the client has a site preference for vaccine administration can enhance the client's comfort and experience. However, this question is more about personal preference and does not impact the safety of the vaccine administration process.
Choice D Reason:
If they have had any past issues or allergies to the vaccine. This is the most critical question for ensuring safety. Identifying any previous adverse reactions or allergies to vaccines is essential to prevent potential allergic reactions or other complications. This information allows the nurse to take necessary precautions or choose an alternative vaccine if needed, ensuring the client's safety during immunization.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Reinforcing past teachings on how to read food labels is an important educational intervention. It helps the client make informed dietary choices, which can be crucial in managing heart failure. However, this intervention is more aligned with secondary prevention, which focuses on early detection and management of disease risk factors to prevent progression. Tertiary prevention, on the other hand, aims to manage and mitigate complications of an already established disease.
Choice B Reason:
Tertiary prevention focuses on managing and mitigating the effects of an existing disease to prevent complications and improve quality of life. In the context of heart failure, this involves monitoring and managing symptoms to prevent disease progression and hospitalizations. Reviewing the client's daily weights helps detect early signs of fluid retention, a common issue in heart failure, allowing for timely interventions.
Choice C Reason:
Reminding the client to ask for the pneumococcal vaccine during their next provider appointment is a preventive measure aimed at reducing the risk of infections, which can exacerbate heart failure. This intervention falls under primary prevention, as it aims to prevent the occurrence of a new health issue (pneumonia) rather than managing an existing condition.
Choice D Reason:
While assessing for edema is important in managing heart failure, it is more of a diagnostic activity rather than an intervention. Tertiary prevention involves interventions to manage and mitigate the effects of an existing disease.
Correct Answer is C
Explanation
Choice A: Quaternary
Quaternary prevention focuses on identifying patients at risk of over-medicalization and protecting them from unnecessary medical interventions. It aims to prevent harm from excessive or inappropriate medical care. This level of prevention is not applicable to the scenario of tube feeding, which is a necessary and appropriate medical intervention for the student's condition.
Choice B: Primary
Primary prevention aims to prevent the onset of disease or injury before it occurs. This includes measures such as vaccination, health education, and lifestyle modifications to reduce risk factors. Tube feeding does not fall under primary prevention, as it is not aimed at preventing the initial occurrence of a health issue but rather managing an existing condition.
Choice C: Tertiary
This is the correct choice. Tertiary prevention involves managing and improving the quality of life for individuals with chronic or long-term health conditions. It focuses on rehabilitation, treatment, and support to prevent complications and improve functional abilities. Helping a special needs student with tube feeding is an example of tertiary prevention, as it involves ongoing care and support to manage a chronic condition and enhance the student's well-being.
Choice D: Secondary
Secondary prevention aims to detect and treat disease or injury at an early stage to prevent progression. This includes screening programs, early diagnosis, and prompt treatment. Tube feeding is not a form of secondary prevention, as it is not focused on early detection or intervention but rather on managing an established health condition.
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