An older adult client comes to a free vaccination clinic requesting an influenza vaccination. Which action should the nurse implement?
Offer to also administer a meningococcal vaccine to the client.
Record height, weight, and vital signs before giving the vaccine.
Ask if the client's influenza exposure was within the last week.
Review the client's vaccination history in the electronic record.
The Correct Answer is D
A. Offer to also administer a meningococcal vaccine to the client. The meningococcal vaccine is not routinely recommended for older adults unless they are at increased risk (e.g., immunocompromised, asplenic, or in certain outbreak situations). The priority is ensuring the influenza vaccine is appropriate based on the client’s history.
B. Record height, weight, and vital signs before giving the vaccine. Routine height, weight, and vital signs are not necessary before administering an influenza vaccine unless the client has symptoms of illness. The focus should be on vaccination history and contraindications.
C. Ask if the client's influenza exposure was within the last week. Recent exposure to influenza does not contraindicate vaccination. The vaccine is preventive and does not provide immediate protection, so the client should still receive it to help prevent future infection.
D. Review the client's vaccination history in the electronic record. Checking vaccination history ensures the client is receiving the correct vaccine and has not already been vaccinated for the season. This helps prevent unnecessary repeat doses and ensures adherence to recommended immunization schedules.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["42"]
Explanation
Flowrate(gtt/min) = (Total volume×Drop factor)/Total time
= (500×20)/240
= 1000/240
= 41.67, round off to the nearest whole number
= 42
Thus, the nurse should regulate the infusion at 42 gtt/min.
Correct Answer is D
Explanation
A. Hyperpigmented areas that vary in form and color and are slightly elevated from the skin
These findings are characteristic of skin conditions such as lentigines or melanocytic nevi rather than acne vulgaris. Acne typically presents with inflammatory and non-inflammatory lesions, not hyperpigmented patches of varying color and elevation.
B. Small, skin-colored, pedunculated papules in areas of skin folds and on other areas as skin tags
Skin tags, also known as acrochordons, are benign growths that develop in areas of skin friction. They are not associated with acne vulgaris, which primarily affects the sebaceous glands and hair follicles.
C. Sharply demarcated silvery scaling plaques with underlying redness on the elbows and knees
These findings are typical of psoriasis, a chronic autoimmune skin condition. Acne vulgaris does not present with silvery scaling plaques or well-defined erythematous lesions in these locations.
D. Hyperactive sebaceous areas forming comedones, papules, pustules on the face, neck, and upper back
Acne vulgaris results from increased sebum production, follicular hyperkeratinization, bacterial overgrowth, and inflammation. It commonly presents with comedones (blackheads and whiteheads), inflammatory papules, pustules, and sometimes nodules, predominantly affecting the face, neck, chest, and upper back.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.