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
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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Related Questions
Correct Answer is D
Explanation
A. While antiepileptic drugs are sometimes used to manage neuropathic pain, the priority in George's case is preventing complications related to diabetic neuropathy.
B. Dialysis is not indicated for neuropathy management.
C. While managing blood glucose levels is important in diabetes management, immediate insulin administration may not be necessary unless George is experiencing hyperglycemic crisis.
D. This is the priority intervention to prevent complications such as diabetic foot ulcers and infections.
Correct Answer is C
Explanation
A. Tonsillitis typically presents with sore throat, difficulty swallowing, and inflamed tonsils, but it does not involve ear pain or tympanic membrane abnormalities.
B. Laryngitis presents with hoarseness or loss of voice due to inflammation of the larynx, not ear pain or tympanic membrane abnormalities.
C. Acute otitis media commonly presents with ear pain, dull tympanic membrane, and may be preceded by an upper respiratory tract infection. Tender, enlarged postauricular lymph nodes can also be present.
D. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but not with ear pain or tympanic membrane abnormalities.
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