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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Administering antipsychotic medication is not indicated for managing acute exacerbations of multiple sclerosis.
B. Plasmapheresis, also known as plasma exchange, is a treatment option for severe, steroid-resistant exacerbations of multiple sclerosis. It involves removing and replacing the plasma to remove circulating antibodies that may contribute to the exacerbation.
C. Starting an exercise program may be beneficial for overall health in multiple sclerosis but is not a priority intervention during an acute exacerbation.
D. Applying hot compresses to affected limbs may provide symptomatic relief but is not a priority intervention for managing acute exacerbations of multiple sclerosis.

A. Mucociliary clearance system B. Chemoreceptors response to changes in PaCO2 C. Reflex bronchoconstriction D. Filtration of air

Correct Answer is B

Explanation

A. While impaired mucociliary clearance can contribute to respiratory symptoms in COPD, it is not directly reflected in the PaCO2 level.
B. In COPD, the respiratory drive can be blunted, leading to inadequate response to elevated PaCO2 levels by the chemoreceptors.
C. Reflex bronchoconstriction may occur in response to various stimuli but is not directly related to the PaCO2 level.
D. Filtration of air primarily refers to the removal of particulate matter and pathogens by the respiratory system and is not directly related to PaCO2 levels.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

James, 45, has a past medical history of depression and a new diagnosis of multiple sclerosis. His lumbar puncture shows oligoclonal bands, and he's experiencing an acute exacerbation. In addition to administering corticosteroids, what is another priority intervention for acute exacerbations?

Correct Answer is B

Explanation

A 62-year-old man named John with a history of COPD is admitted for worsening shortness of breath. John's recent arterial blood gas (ABG) Indicates a PaCO2 level of 55 mmHg. Which of the following mechanisms is most compromised In John's respiratory system?

Correct Answer is B

Explanation

Emily, 25, shows signs of ptosis, dysphagia, and respiratory distress. The tensilon test is positive, and her ABG shows a PaO2 of 70 mmHg. What is the most immediate nursing intervention?

Betty, 52, presents with unexplained lymphadenopathy. Her biopsy tissue is sent for T- cell receptor (TCR) Gene Rearrangement testing. What is the main purpose of the TCR Gene Rearrangement test in Betty's diagnosis?

Peter, a 60-year-old male with a closed head injury, starts to have a urine output of 300 ml/hr. His urine specific gravity is 1.002. What does this indicate?

Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Linda, a 70-year-old woman with COPD, has arterial blood gases that show a pH of 7.35, PaCO2 of 55, and Pa02 of 60. She is currently on 2 liters of oxygen via a nasal -cannula. Which of the following interventions are appropriate for Linda? Select all that apply

David, a 30-year-old man, is examined for potential hernias. The healthcare provider asks him to bear down during the examination. What is the primary reason for this instruction?

Samantha, a nurse in the post-operative ward, is going over recent lab results of a patient, Jane, who underwent abdominal surgery two days ago. Samantha notes an elevated C- reactive protein level. What clinical concern should Samantha prioritize based on this finding?