Marie, a 30-year-old nurse at a flu immunization clinic, encounters Paul, a 45-year-old patient with diabetes and hypertension, who also received immunoglobulin therapy two weeks prior. Which is the most appropriate action for Marie to take?
Administer the flu vaccine immediately.
Advise Paul to control his diabetes before receiving any vaccines.
Postpone the flu vaccine for another 2 weeks.
Consult the physician for an alternative to flu vaccination
The Correct Answer is C
A. Administering the flu vaccine immediately may not be safe due to Paul's recent immunoglobulin therapy and underlying health conditions.
B. While controlling diabetes is important for overall health, it may not directly impact the decision to postpone the flu vaccine.
C. Postponing the flu vaccine for another 2 weeks allows time for the effects of immunoglobulin therapy to diminish and reduces the risk of potential adverse interactions.
D. Consulting the physician for an alternative to flu vaccination may be necessary if Paul cannot receive the vaccine due to contraindications or allergies, but postponing is the initial appropriate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assessing the size and shape of the testicles can be part of a genital examination but is not the primary reason for asking David to bear down.
B. Asking David to bear down increases intra-abdominal pressure, making it easier to detect hernias in the inguinal ring and canal.
C. Checking for the presence of lumps in the scrotum may be part of the examination but is not the primary reason for asking David to bear down.
D. Evaluating the character and distribution of pubic hair is not related to detecting hernias and is not the primary reason for asking David to bear down.
Correct Answer is B
Explanation
A. Lithotomy position requires the patient to lie on his back with his legs raised and spread apart, which may be difficult for a nonambulatory patient and may cause pressure on his lower back and pelvis.
B. This position allows for easy access to the rectum and prostate without causing discomfort or strain to the patient or examiner. The patient lies on his left side with his right leg flexed at the hip and knee and his left leg slightly flexed at the hip and straight at the knee.
C. Bent forward with hips flexed requires the patient to stand up and lean over a table or chair, which may also be challenging for a nonambulatory patient and may cause dizziness or loss of balance.
D. Standing position requires the patient to stand up straight with his feet apart, which may not provide adequate exposure or comfort for the examination.
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