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 B

Explanation

A. A rectal examination may not detect lesions higher up in the colon

B. Rectal bleeding and change in bowel habits are red flags for colorectal cancer, especially in people over 50 years old. A colonoscopy is the gold standard for diagnosing colorectal cancer and other conditions affecting the colon and rectum.
C. While increasing fiber may be beneficial for overall bowel health, it is not the immediate action to take when rectal bleeding and changes in bowel habits are reported.
D. Prescribing medication without a proper evaluation could mask underlying issues and is not the appropriate initial step.

A. Tonsillitis B. Allergic Rhinitis C. Eustachian Tube Dysfunction D. Labyrinthitis E. Labyrinthitis

Correct Answer is C

Explanation

A. Tonsillitis presents with sore throat, difficulty swallowing, and inflamed tonsils, but it is not typically associated with ear pain, tenderness behind the ear, or a history of recurrent ear infections.
B. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but it does not cause chronic ear pain or tenderness behind the ear.
C. Chronic ear pain, tenderness behind the ear, and a history of recurrent ear infections suggest dysfunction of the Eustachian tube, which can lead to fluid accumulation and pressure changes in the middle ear.
D. Labyrinthitis presents with vertigo, nausea, and hearing loss, which are not mentioned in Susan's symptoms.

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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

Amy, a 50-year-old woman, reports a recent change in her bowel habits and rectal bleeding. She has no family history of rectal or colon problems. What is the most appropriate next step for her healthcare provider?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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