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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Related Questions
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.
Correct Answer is ["C","E"]
Explanation
A. A red light kept on in the bedroom at night can provide low-level illumination that helps prevent falls during nighttime bathroom trips. This is generally considered a safe practice and can improve visibility without disrupting sleep significantly.
B. Carpeted floors provide a softer surface that can reduce the risk of injury from falls, especially for older adults. Carpet also helps prevent slipping compared to hard, smooth floors, making it a positive safety feature in the home.
C. A water heater set at 54.4° C (130° F) poses a scalding risk, especially for older adults or clients with decreased sensation. The recommended safe temperature to prevent burns is 49° C (120° F) or lower. The nurse should recommend lowering the temperature to reduce injury risk.
D. A rubber-backed bath mat outside the shower increases traction on wet floors and helps prevent slipping. This is an important safety measure in bathrooms, which are common sites for falls.
E. An extension cord stretched across the floor creates a significant tripping hazard. The nurse should recommend removing or repositioning the cord to eliminate this risk and improve home safety.
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