Sophia, an outpatient clinic nurse, is assessing a 78-year-old patient, Robert, with chronic obstructive pulmonary disease (COPD). Which immunization should Sophia most strongly recommend that Robert receives annually?

Herpes Zoster

Hepatitis C

Influenza

Pneumococcal

Answer and Explanation

The Correct Answer is C

A.   This vaccine is recommended for adults over 50 years old to prevent shingles, but it is not typically administered annually.
B.   There is no routine annual immunization for Hepatitis C.
C.   Annual influenza vaccination is strongly recommended for patients with COPD to reduce the risk of influenza-related complications.
D.   While pneumococcal vaccination is important for patients with COPD, it is not administered annually in most cases.

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Correct Answer is A

Explanation

A. Right intracerebral hemorrhage typically causes symptoms on the opposite side of the body (left-sided hemiparesis) and a dilated ipsilateral (right) pupil due to pressure on the oculomotor nerve.
B. Right intracerebral hemorrhage typically results in left-sided hemiparesis due to damage to the motor pathways on the right side of the brain, along with a dilated right pupil due to compression of the ipsilateral (right) oculomotor nerve.
C. Bilateral handgrip strength being equal suggests no focal motor deficits, which would be unusual in the context of an intracerebral hemorrhage. Reactive pupils would not be expected in this scenario.
D. Pinpoint pupils are typically associated with opioid overdose or pontine lesions, not intracerebral hemorrhage.

A. Incorporate a diet rich in fresh fruits. B. Strictly adhere to Standard Precautions. C. Refrain from placing live plants in Paul's room. D. Implement protective isolation measures. E. Install high-efficiency particulate air filters

Correct Answer is ["B","C","D","E"]

Explanation

A. Avoid giving Paul a diet rich in fresh fruits, as they may contain harmful microorganisms that could cause infections. Instead, give him cooked or canned fruits that are safe to eat.
B. Strict adherence to Standard Precautions, which include hand hygiene, wearing gloves, gowns, and masks when necessary, is crucial to prevent infections in immunocompromised patients.
C. Do not place live plants in Paul's room, as they may harbor mold spores that could cause respiratory problems for Paul. Instead, use artificial plants or flowers that are easy to clean and disinfect.

D. Protective isolation measures, such as placing the patient in a private room and using appropriate barriers, can help minimize the risk of exposure to infectious agents.
E. Installing high-efficiency particulate air filters can help reduce airborne pathogens and allergens, which is important for patients with compromised immune systems.

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Sophia, an outpatient clinic nurse, is assessing a 78-year-old patient, Robert, with chronic obstructive pulmonary disease (COPD). Which immunization should Sophia most strongly recommend that Robert receives annually?

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Naxlex Comprehensive Predictor Exams

Susan, 55, presents with a right Intracerebral hemorrhage. Lab results show an elevated ICP. What would you expect to find in your neurological assessment?

Correct Answer is A

Explanation

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Correct Answer is ["B","C","D","E"]

Explanation

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