The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

Legislative proposals that mandate influenza vaccinations for all.

Radio announcements about the availability of the influenza vaccine.

Reports describing influenza rates during times of greatest prevalence.

Designation of clinics conveniently located in target neighborhoods.

Answer and Explanation

The Correct Answer is D

A) Legislative proposals that mandate influenza vaccinations for all:
While legislative mandates can increase vaccination rates broadly, they may not address specific barriers faced by underserved populations. Mandates alone do not guarantee access or overcome logistical challenges that certain groups might face.

B) Radio announcements about the availability of the influenza vaccine:
Radio announcements can raise awareness but may not effectively reach or address the specific barriers faced by underserved populations. Simply informing people of vaccine availability does not necessarily solve issues related to access, transportation, or healthcare provider availability.

C) Reports describing influenza rates during times of greatest prevalence:
Reports and statistics are useful for understanding the epidemiology of influenza but do not directly impact vaccination rates. While they may inform the public, they do not address practical barriers to obtaining the vaccine.

D) Designation of clinics conveniently located in target neighborhoods:
Designating clinics in convenient locations directly addresses one of the main barriers to vaccination—access. By making clinics easily accessible within target neighborhoods, underserved populations are more likely to receive the influenza vaccine, thus improving immunization rates. This approach addresses both access and convenience, which are crucial for increasing vaccination coverage in these groups.

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Correct Answer is B

Explanation

A) Explain to the client results should be read between 48 and 72 hours:
While it is important for the client to know when the results should be read, this step is secondary to ensuring the client has a plan for follow-up. Knowing the timeline for reading the results alone does not guarantee that the client will actually return to have the test read.

B) Identify how the client will follow up to have the results read
Ensuring that the client has a clear plan for follow-up is the most crucial intervention. For a homeless client, arranging for follow-up might involve coordinating with local health services or shelters to make sure the client returns for the test reading. Without a solid follow-up plan, the TB test could be missed, which is important for ensuring proper diagnosis and treatment.

C) Determine if the client understands the purpose of the tuberculin test:
Understanding the purpose of the test is important for client education, but it does not directly address the issue of follow-up. The priority should be ensuring that the client knows how to get the test results read, which is essential for the test's effectiveness.

D) Give the client written information about the tuberculosis test
Providing written information can be helpful, but it does not guarantee that the client will follow up to have the test read. Given the challenges faced by homeless individuals, direct assistance in planning follow-up care is more critical than providing written information alone.

A. Wear a N95 respirator mask during direct contact with others. B. Cover mouth and turn head when coughing C. Use meticulous hand washing technique. D. Discard all tissues used during coughing in a biohazard bag.

Correct Answer is A

Explanation

A. Wear a N95 respirator mask during direct contact with others:
SARS is a viral respiratory illness that spreads via respiratory droplets, and an N95 respirator mask is specifically designed to filter out airborne particles, including those that could carry the SARS virus. Wearing an N95 respirator is critical for preventing the transmission of SARS to others, especially in healthcare settings or close contact situations.

B. Cover mouth and turn head when coughing:
Covering the mouth and turning the head helps reduce the spread of droplets, but it is not sufficient to prevent transmission of airborne viruses like SARS. For effective prevention, especially in a healthcare setting, more stringent measures like using N95 respirators are required.

C. Use meticulous hand washing technique:
Hand washing is crucial for preventing the spread of many infections, but it does not directly address the airborne transmission of viruses like SARS. While it complements other infection control measures, it is not the primary method for preventing SARS transmission.

D. Discard all tissues used during coughing in a biohazard bag:
Proper disposal of tissues is important for infection control, but it alone does not prevent the airborne spread of SARS. This measure is part of broader infection control practices but is less effective in preventing transmission compared to the use of N95 respirators.

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The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

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Naxlex Comprehensive Predictor Exams

A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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