Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?
A 65-year-old aide working in a nursing home.
An 8-year-old girl with poorly-controlled asthma.
A 60-year-old client with diabetes and agoraphobia (fear of crowds).
An 80-year-old resident in an Alzheimer’s unit.
The Correct Answer is C
Answer and explanation
The correct answer is Choice C.
Choice A rationale
A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.
Choice B rationale
An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.
Choice C rationale
A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the
virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.
Choice D rationale
An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation
The correct answer is C.
Choice A rationale
Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.
Choice B rationale
Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.
Choice C rationale
Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
Choice D rationale
Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
The Social Security Administration office primarily provides financial support to retirees, disabled individuals, and families of deceased workers. While it might provide some financial assistance to the client, it does not directly address the client’s nutritional needs or potential social isolation.
Choice B rationale
The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client’s weight loss and potential social isolation.
Choice C rationale
The Women, Infants, and Children office provides nutritional support to low-income pregnant women, new mothers, and young children. It is not typically a resource for older adults.
Choice D rationale
The Adult Day Care Center provides care and companionship for older adults who need assistance or supervision during the day. While it could provide social interaction for the client, it does not directly address the client’s weight loss.
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