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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.
E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.
Correct Answer is D
Explanation
A. There's no indication of a bacterial infection, so antibiotics are not warranted.
B. A biopsy may be considered if the diagnosis is uncertain, but it's not the first-line action.
C. Tretinoin is typically used for conditions like acne or photoaging, not for eczematous lesions.
D. Corticosteroid creams are commonly used to reduce inflammation and itching associated with eczema, making this the most appropriate action.
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