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Despite numerous instructions, an elderly patient with Parkinson’s disease is unable to administer ophthalmic medication without assistance due to hand tremors.
What is the best course of action for the nurse?

Continue to reinforce the instructions to boost the patient’s self-confidence.

Determine if a family member is available and willing to administer the medication.

Obtain a prescription for a visiting nurse to administer the medication twice a day.

Document the patient’s inability to administer the medication without assistance.

Answer and Explanation

The Correct Answer is B

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While reinforcing instructions can boost a patient’s self-confidence, it may not be effective for an elderly patient with Parkinson’s disease who is unable to administer ophthalmic medication due to hand tremors. The physical limitation caused by the tremors may not be overcome by further instruction.

Choice B rationale

If a family member is available and willing to administer the medication, this could be an effective solution. The family member can be trained to administer the medication correctly, ensuring the patient receives their necessary treatment.

Choice C rationale

While obtaining a prescription for a visiting nurse to administer the medication twice a day could ensure the patient receives their medication, it may not be the most practical or cost- effective solution. It also depends on the availability of such services in the patient’s area.

Choice D rationale

Documenting the patient’s inability to administer the medication without assistance is important for record-keeping and communicating with other healthcare providers. However, it does not address the immediate issue of ensuring the patient receives their necessary medication.

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Correct Answer is D

Explanation

Answer and explanation The correct answer is D. Choice A rationale

Staying with someone for 10 hours post-injection is not a standard recommendation after receiving the Hepatitis B Vaccine (HBV). The vaccine is generally well-tolerated, and serious side effects are rare.

Choice B rationale

While it can be comforting to have a family member present during medical procedures, it is not necessary for the final injection of the HBV series.

Choice C rationale

While it is important to encourage vaccination among all eligible individuals, the immediate concern after healthcare workers receive the HBV is not about their family members’ vaccination status.

Choice D rationale

Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.

A. The infant received a scheduled immunization. B. The father fed the infant spoiled baby food. C. The mother is breastfeeding the infant. D. The infant was bitten by an infected mosquito.

Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While immunizations are important for preventing many diseases, they are not typically associated with vertical transmission. Vertical transmission refers to the transmission of a disease or condition from mother to child during the period immediately before and after birth.

Choice B rationale

Feeding an infant spoiled food can potentially lead to foodborne illnesses, but it is not associated with diseases that are vertically transmitted.

Choice C rationale

Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk. Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.

Choice D rationale

While mosquito bites can transmit certain diseases, such as malaria or Zika virus, this is not considered a form of vertical transmission. Vertical transmission specifically refers to the transmission of diseases from mother to child during the period immediately before and after birth.

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Despite numerous instructions, an elderly patient with Parkinson’s disease is unable to administer ophthalmic medication without assistance due to hand tremors.What is the best course of action for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?

Correct Answer is D

Explanation

A 2-month-old infant contracts a disease through vertical transmission.Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?

Correct Answer is C

Explanation

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Despite numerous instructions, an elderly patient with Parkinson’s disease is unable to administer ophthalmic medication without assistance due to hand tremors.
What is the best course of action for the nurse?