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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

Notifying the physician immediately is not the first action to take. While it is important to keep the physician informed, the nurse should first implement measures to alleviate the client’s pain and discomfort.

Choice B reason:

Increasing the oxygen from 2 to 4 liters/minute may be necessary if the client is experiencing hypoxia, but it is not directly related to managing pleuritic chest pain. The primary focus should be on pain relief and comfort.

Choice C reason:

Teaching about splinting the chest when coughing is the most appropriate action. Splinting helps to reduce pain by stabilizing the chest wall during coughing, which can be particularly painful for clients with pleuritic chest pain.

Choice D reason:

Obtaining an electrocardiogram (ECG) is not immediately necessary for managing pleuritic chest pain caused by pneumonia. An ECG may be indicated if there are concerns about cardiac issues, but it is not the primary intervention for pleuritic pain.

A. None of these medications will work for this activity. B. Use beclomethasone prior to exercising. C. Albuterol is most effective when taken before this type of activity. D. Use zafirlukast prior to aerobic activity.

Correct Answer is C

Explanation

Choice A reason: Stating that none of these medications will work for this activity is incorrect. Albuterol, a short-acting beta-agonist, is specifically used to prevent exercise-induced bronchoconstriction (EIB). It is effective in opening the airways and preventing asthma symptoms triggered by exercise.

Choice B reason: Using beclomethasone prior to exercising is not recommended. Beclomethasone is an inhaled corticosteroid used for long-term control of asthma and is not effective as a pre-exercise medication. It helps reduce inflammation in the airways over time but does not provide immediate relief or prevention of exercise-induced symptoms.

Choice C reason: Albuterol is most effective when taken before this type of activity. Albuterol is a short-acting beta-agonist (SABA) that works quickly to relax the muscles around the airways, making it easier to breathe. It is commonly prescribed to be taken 10-15 minutes before exercise to prevent exercise-induced bronchoconstriction. This medication helps to prevent the narrowing of the airways that can occur during physical activity, making it the best choice for preventing exercise-induced asthma symptoms.

Choice D reason: Using zafirlukast prior to aerobic activity is not the best option. Zafirlukast is a leukotriene receptor antagonist used for long-term control of asthma. It helps reduce inflammation and prevent asthma symptoms but is not typically used as a pre-exercise medication. It does not provide the immediate bronchodilation needed to prevent exercise-induced bronchoconstriction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client diagnosed with pneumonia develops pleuritic chest pain. Which nursing action should the nurse implement at this time?

Correct Answer is C

Explanation

The physician prescribed albuterol, beclomethasone, and zafirlukast for a client being discharged with asthma. The client tells the nurse he can’t remember what to take before exercising. The best response by the nurse would be:

Correct Answer is C

Explanation

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