At the outpatient clinic, the practical nurse (PN) talks to a male client whose spouse is being treated for cancer with chemotherapy. The client tells the PN the reason he does not want a seasonal influenza vaccination is because the vaccination will increase the risk to his spouse. How should the PN respond?
Review the overall prognosis for the spouse who is being treated for cancer.
Explain that he will reduce the risk to his spouse by receiving the vaccination.
Plan his vaccination for a day when his spouse is not receiving chemotherapy.
Determine when his spouse will be finished with her course of treatment.
The Correct Answer is B
A. Reviewing the prognosis for the spouse does not address the immediate concern about the influenza vaccination’s impact on the spouse’s health.
B. Explaining that the influenza vaccination will actually help reduce the risk of transmission of influenza to the spouse undergoing chemotherapy addresses the client’s concern and provides accurate information.
C. Planning the vaccination for a day when the spouse is not receiving chemotherapy does not resolve the underlying issue of the vaccination’s effectiveness and safety.
D. Determining when the spouse will finish chemotherapy is not relevant to the immediate concern of the vaccination and its effects on the spouse’s health.
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Related Questions
Correct Answer is B
Explanation
A. While knowing the number of tablets taken is important for managing chest pain, it is secondary to ensuring that the client can safely administer the medication.
B. Assessing the client's level of orientation and compliance is crucial because the client needs to understand how and when to use the nitroglycerin properly. Misunderstanding or non-compliance could lead to ineffective treatment or potential harm.
C. Checking heart rate and blood pressure is important for assessing the effects of nitroglycerin, but before leaving the medication for self-administration, it is vital to ensure that the client understands how to use the medication.
D. Monitoring hourly urinary output and daily weight is not relevant to the immediate concern of ensuring safe and effective nitroglycerin self-administration.
Correct Answer is C
Explanation
A. Extending progressive ambulation over one week is important but not the most critical instruction. Postoperative mobility is generally encouraged in a gradual manner, but it is not as urgent as managing specific activity restrictions.
B. Notifying the clinic if the child begins bedwetting is not typically a primary concern immediately following surgery for cryptorchidism. Bedwetting is not directly related to the surgical procedure or its common postoperative concerns.
C. Restricting the child from playing on riding toys is the most important instruction for preventing complications. Riding toys can be a safety risk due to potential trauma to the surgical site and could cause harm during the recovery period.
D. Supervising toileting to prevent picking at sutures is relevant but less critical compared to the need to restrict potentially harmful activities. While important, it is a secondary concern compared to overall activity restrictions.
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