Alice, a 64-year-old patient with a history of osteoporosis and hypertension, just received her pneumococcal vaccine. She mentions that her sister got sick after receiving the same vaccine. How should the nurse respond to Alice's concern?

Advise Alice to consult a physician for a tetanus shot as an alternative

Explain that the pneumococcal vaccine is not a live vaccine and cannot cause pneumonia.

Reassure Alice that the vaccine is safe for everyone.

Suggest that Alice should skip her flu vaccine this year to avoid complications.

Answer and Explanation

The Correct Answer is B

A. Tetanus shot is not relevant to Alice's concern about the pneumococcal vaccine.

B.   Explaining that the pneumococcal vaccine is not a live vaccine and cannot cause pneumonia addresses Alice's concern and provides accurate information about the vaccine's safety.
C.   While pneumococcal vaccines are generally safe for most individuals, providing specific information about the vaccine's composition and safety profile is more beneficial.
D.   Skipping the flu vaccine is not recommended based on concerns about the pneumococcal vaccine.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Multiple rib fractures are unlikely to enhance gas diffusion; instead, they can impair ventilation by reducing the ability of the chest wall to expand.
B. Multiple rib fractures can indeed increase the workload of the diaphragm as it tries to compensate for the decreased ability of the chest wall to expand during breathing.

C. Multiple rib fractures can restrict chest wall movement, leading to compromised ventilation efficiency.
D. Multiple rib fractures wouldn't directly improve pulmonary blood supply; they can lead to pain and impaired lung function.

A. Release of enzymes that irritate the tissues. B. Edema compressing nerve endings. C. Heat generated during the process of lysis. D. Accumulation of acidic waste from dying cells.

Correct Answer is B

Explanation

A. This mechanism is more relevant in conditions like pancreatitis or tissue injury involving enzyme release, not specifically in traumatic inflammation.
B. Inflammation leads to increased vascular permeability and fluid accumulation (edema), which can compress nerve endings and cause pain.
C. Lysis refers to the breakdown of cells, which may release heat, but this is not typically a significant factor in localized inflammation from trauma.
D. Acidic waste accumulation occurs in cell death processes like necrosis, but it's not the primary mechanism causing pain in traumatic inflammation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Alice, a 64-year-old patient with a history of osteoporosis and hypertension, just received her pneumococcal vaccine. She mentions that her sister got sick after receiving the same vaccine. How should the nurse respond to Alice's concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

George, a 15-year-old man, is brought to the ESL with multiple rib fractures following a motor vehicle accident. How could this injury affect his respiratory system?

Correct Answer is C

Explanation

Mary, a 45-year-old woman, comes into the clinic complaining of a swollen and painful toe after stubbing it on a furniture leg. The nurse explains that the pain is most likely due to what mechanism in the inflammatory response?

Correct Answer is B

Explanation

Nurse Mary needs to decide on nursing management for patients with different conditions. Match each patient's condition to the best nursing management strategy

Linda, 50, has a history of rheumatoid arthritis and Raynaud's phenomenon. She presents with muscle pain, weakness, and a hellotrope rash. Her lab tests show elevated levels of aldolase and antinuclear antibodies (ANA). What medication would best help control Linda's inflammatory myositis symptoms?

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

Samantha, a nurse in the post-operative ward, is going over recent lab results of a patient, Jane, who underwent abdominal surgery two days ago. Samantha notes an elevated C- reactive protein level. What clinical concern should Samantha prioritize based on this finding?

Mike, a 17-year-old wrestler, comes in for a routine check-up. The nurse observes wheal- like lesions with white deposits at the base of the hair shaft. What should the nurse teach Mike?

Alice, a 64-year-old patient with a history of osteoporosis and hypertension, just received her pneumococcal vaccine. She mentions that her sister got sick after receiving the same vaccine. How should the nurse respond to Alice's concern?

Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?