An older adult client with chronic respiratory disease tells the nurse it is unnecessary to receive the pneumococcal pneumonia vaccine because the influenza vaccine was just received two months ago. Which response by the nurse is most appropriate?
The vaccine that you received will protect you against the flu, but the pneumonia vaccine will protect you from bacterial pneumonia.
That’s great. You are fully protected against influenza and pneumonia this year.
You are correct. Influenza will cause pneumonia in many cases.
You have some protection, but it would be best to get the pneumonia vaccine to prevent you from carrying the disease to other people.
The Correct Answer is A
Choice A reason: The influenza vaccine and the pneumococcal pneumonia vaccine protect against different pathogens. The influenza vaccine protects against the flu virus, while the pneumococcal vaccine protects against Streptococcus pneumoniae, a common cause of bacterial pneumonia. It is important for individuals, especially those with chronic respiratory diseases, to receive both vaccines to reduce the risk of severe respiratory infections.
Choice B reason: Stating that the client is fully protected against both influenza and pneumonia with just the flu vaccine is incorrect. The flu vaccine does not provide protection against bacterial pneumonia caused by Streptococcus pneumoniae. Therefore, it is essential to receive the pneumococcal vaccine as well.
Choice C reason: While influenza can lead to secondary bacterial pneumonia, it is not accurate to say that influenza will cause pneumonia in many cases. The primary purpose of the influenza vaccine is to prevent the flu, not pneumonia. The pneumococcal vaccine specifically targets the bacteria that cause pneumonia.
Choice D reason: Suggesting that the client should get the pneumonia vaccine to prevent carrying the disease to others is not the most appropriate response. The primary reason for receiving the pneumococcal vaccine is to protect the individual from developing bacterial pneumonia, not just to prevent transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Reducing rebreathing of exhaled air is not a primary characteristic of a Venturi mask. This feature is more associated with non-rebreather masks, which have a one-way valve to prevent exhaled air from being inhaled again.
Choice B reason:
Delivering high percentages of oxygen at flow rates of 10 to 15 L/min is not specific to Venturi masks. Non-rebreather masks are typically used for high oxygen flow rates. Venturi masks are designed to deliver precise oxygen concentrations at lower flow rates.
Choice C reason:
Providing a precise amount of oxygen is the key characteristic of a Venturi mask. Venturi masks are equipped with color-coded adapters that allow for the delivery of specific oxygen concentrations, regardless of the patient’s breathing pattern.
Choice D reason:
Working independently of client breathing factors and flow of oxygen is not entirely accurate. While Venturi masks do provide a consistent oxygen concentration, they still depend on the flow of oxygen set by the healthcare provider.
Correct Answer is ["9.0"]
Explanation
Calculation and Answer
Step 1: Determine the total dose required per administration.
- Dose required = 0.5 mg/kg × 90 kg
- Dose required = 45 mg
Step 2: Determine the concentration of the drug.
- Concentration = 25 mg per 5 mL
Step 3: Calculate the volume needed to administer the required dose.
- Volume (mL) = Dose required ÷ Concentration
- Volume (mL) = 45 mg ÷ (25 mg ÷ 5 mL)
- Volume (mL) = 45 mg ÷ 5 mg/mL
- Volume (mL) = 9 mL
The client will receive 9.0 mL per dose.
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