Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?
A 65-year-old aide working in a nursing home.
An 8-year-old girl with poorly-controlled asthma.
A 60-year-old client with diabetes and agoraphobia (fear of crowds).
An 80-year-old resident in an Alzheimer’s unit.
The Correct Answer is C
Answer and explanation
The correct answer is Choice C.
Choice A rationale
A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.
Choice B rationale
An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.
Choice C rationale
A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the
virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.
Choice D rationale
An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While reminding drivers to wear seatbelts is important for overall road safety, it does not directly enhance the safety of children walking to and from school.
Choice B rationale
Advising residents to keep their porch lights on can improve visibility during hours of low light. However, this measure may not significantly enhance the safety of children walking to and from school during daylight hours.
Choice C rationale
Encouraging residents to have their homes inspected for high lead levels is important for overall community health, but it does not directly impact the safety of children walking to and from school.
Choice D rationale
Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.
Correct Answer is ["B","C","D","E"]
Explanation
Answer and explanation
The correct answer is Choices B, C, D, and E.
Choice A rationale
Areas with negative-pressure airflow are typically used in healthcare settings to prevent the spread of airborne pathogens, not bloodborne pathogens.
Choice B rationale
Puncture-resistant sharps containers are a crucial part of an exposure control plan for bloodborne pathogens. They provide a safe way to dispose of sharps, reducing the risk of needlestick injuries.
Choice C rationale
Needleless medication delivery systems can significantly reduce the risk of needlestick injuries, thereby reducing the risk of exposure to bloodborne pathogens.
Choice D rationale
A vaccination schedule for Hepatitis B is an important part of an exposure control plan. Hepatitis B is a bloodborne pathogen, and vaccination is an effective way to prevent infection.
Choice E rationale
Personal protective equipment (PPE) is a key component of an exposure control plan. PPE such as gloves, gowns, and face shields can provide a barrier between the healthcare worker and potentially infectious material.
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