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 C

Explanation

“Fluid volume excess.” Bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning are all signs of fluid volume excess.
Fluid volume excess can occur when the heart is unable to pump blood efficiently, causing fluid to build up in the lungs.
Choice A is not the correct answer because the increased cardiac output would not cause these symptoms.
Choice B is not the correct answer because pleural effusion refers to a buildup of fluid between the layers of tissue that line the lungs and chest cavity, which would not cause these symptoms.
Choice D is not the correct answer because aspiration refers to the inhalation of food, liquid, or other substances into the lungs, which would not cause these symptoms.

A. Initiate an IV dopamine infusion. B. Begin an IV bolus of lactated Ringer's. C. Perform neurological assessments. D. Place the client supine.

Correct Answer is C

Explanation

A hypertensive crisis is an emergent situation in which a marked elevation in diastolic blood pressure can cause end-organ damage.
The nurse should perform neurological assessments to monitor for any changes in the patient’s level of consciousness and other neurological symptoms.
Choice A is incorrect because dopamine is not typically used to treat hypertensive crises.
Choice B is incorrect because lactated Ringer’s solution is not typically used to treat hypertensive crises.
Choice D is incorrect because placing the client supine may not be appropriate and could potentially worsen their condition.

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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 bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating which of the following?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?

A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg. HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?

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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.).