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 ["C","D"]

Explanation

A. Immunoglobulin injection provides passive immunity, which is temporary and does not confer long-term protection.
B. Passive immunity is different from active immunity, which is acquired through vaccination or natural infection and involves the stimulation of the recipient's own

immune system to produce antibodies and memory cells that can recognize and eliminate the pathogen in the future.
C. Passive immunity is effective in preventing or reducing the severity of infections, but it does not last long and does not confer memory or protection against future exposures.
D. Passive immunity acquired through immunoglobulin injection is temporary and wanes over time.
E. Immunoglobulin injection provides passive immunity and is not conferred through vaccination, which induces active immunity.

A. Hypogammaglobulinemia B. Graft-versus-host disease C. Sepsis D. Multiple myeloma

Correct Answer is D

Explanation

A. This condition is characterized by low levels of immunoglobulins, which may predispose to infections, but it typically does not present with a monoclonal spike on SPEP.
B. This condition occurs after a transplant procedure and is not typically associated with back pain or a monoclonal spike on SPEP.

C. While sepsis can cause back pain and recurrent infections, it is not typically associated with a monoclonal spike on SPEP.
D. Multiple myeloma often presents with bone pain (including back pain) and recurrent infections. The monoclonal spike on SPEP is characteristic of this condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Jacob, a 45-year-old man, receives an injection of immunoglobulin after exposure to Hepatitis B. Which of the following statements about the type of immunity Jacob now has are correct? (Select all that apply.)

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

Explanation

Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

Correct Answer is D

Explanation

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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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