Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse in a clinic is providing preventive teaching to an older adult client during a good visit.
The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60. (Select all that apply.).
A. Pneumococcal polysaccharide.
“Pneumococcal polysaccharide,” “Influenza,” and “Herpes zoster.” These statements indicate an understanding of the teaching because these immunizations are recommended for healthy adults after age 60.
B. Meningococcal.
Choice B is incorrect because the meningococcal vaccine is not typically recommended for healthy adults after age 60.
C. Human papillomavirus.
Choice C is incorrect because the human papillomavirus (HPV) vaccine is not typically recommended for healthy adults after age 60.
D. Influenza.
“Pneumococcal polysaccharide,” “Influenza,” and “Herpes zoster.” These statements indicate an understanding of the teaching because these immunizations are recommended for healthy adults after age 60.
E. Herpes zoster.
“Pneumococcal polysaccharide,” “Influenza,” and “Herpes zoster.” These statements indicate an understanding of the teaching because these immunizations are recommended for healthy adults after age 60.
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Full Explanation
“Influenza,” and “Herpes zoster.” These statements indicate an understanding of the teaching because these immunizations are recommended for healthy adults after age 60.
Choice B is incorrect because the meningococcal vaccine is not typically recommended for healthy adults after age 60.
Choice C is incorrect because the human papillomavirus (HPV) vaccine is not typically recommended for healthy adults after age 60.
Similar Questions
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone.
Which of the following actions by the nurse demonstrates client advocacy?
A. Tell the client to avoid places where there are large crowds of people.
Choice A is wrong because avoiding large crowds of people is a precautionary measure but does not demonstrate client advocacy.
B. Instruct the client to avoid eating raw vegetables.
Choice B is wrong because avoiding raw vegetables is a dietary recommendation but does not demonstrate client advocacy.
C. Remind the client of the importance of medication adherence.
Choice C is wrong because reminding the client of the importance of medication adherence is important but does not demonstrate client advocacy.
D. Initiate a referral for the client to a home health agency.
Initiate a referral for the client to a home health agency. This action demonstrates client advocacy because it empowers the client to continue self-care at home while also providing them with additional support and resources through the home health agency.
Full Explanation
Initiate a referral for the client to a home health agency.
This action demonstrates client advocacy because it empowers the client to continue self-care at home while also providing them with additional support and resources through the home health agency.
Choice A is wrong because avoiding large crowds of people is a precautionary measure but does not demonstrate client advocacy.
Choice B is wrong because avoiding raw vegetables is a dietary recommendation but does not demonstrate client advocacy.
Choice C is wrong because reminding the client of the importance of medication adherence is important but does not demonstrate client advocacy.
A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure.
Which of the following is the priority topic for the nurse to review with the client?
A. Daily exercise routine.
Choice A is wrong because while daily exercise is important for overall health, it is not the priority topic for the nurse to review with the client.
B. Daily sodium restrictions.
Choice B is wrong because while daily sodium restrictions are important for managing heart failure, it is not the priority topic for the nurse to review with the client.
C. Fluid intake record.
Choice C is wrong because while monitoring fluid intake is important for managing heart failure, it is not the priority topic for the nurse to review with the client.
D. Changes in weight.
The priority topic for the nurse to review with the client is monitoring changes in weight. A sudden weight gain may mean that the client’s heart failure is getting worse and they should call their doctor if they have a sudden weight gain, such as more than 2 to 3 pounds in a day or 5 pounds in a week.
Full Explanation
The priority topic for the nurse to review with the client is monitoring changes in weight.
A sudden weight gain may mean that the client’s heart failure is getting worse and they should call their doctor if they have a sudden weight gain, such as more than 2 to 3 pounds in a day or 5 pounds in a week.
Choice A is wrong because while daily exercise is important for overall health, it is not the priority topic for the nurse to review with the client.
Choice B is wrong because while daily sodium restrictions are important for managing heart failure, it is not the priority topic for the nurse to review with the client.
Choice C is wrong because while monitoring fluid intake is important for managing heart failure, it is not the priority topic for the nurse to review with the client.
A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will increase the amount of fresh fruits and vegetables I consume.".
Choice A is wrong because while increasing the amount of fresh fruits and vegetables consumed is a healthy dietary choice, it does not demonstrate an understanding of the discharge teaching for a client with AIDS.
B. "I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash.".
Choice B is wrong because while cleaning up areas soiled with body fluids is important, using alcohol and immediately disposing of the trash is not necessary.
C. "I will be sure to wear gloves and wash my hands when I change my cat's litter box.".
This statement indicates an understanding of the teaching because it shows that the client is aware of the importance of reducing their risk of infection by taking precautions when handling pet waste.
D. "I will need to take my clothes to the dry cleaners to sterilize them.".
Choice D is wrong because taking clothes to the dry cleaners to sterilize them is not necessary for a client with AIDS.
Full Explanation
This statement indicates an understanding of the teaching because it shows that the client is aware of the importance of reducing their risk of infection by taking precautions when handling pet waste.
Choice A is wrong because while increasing the amount of fresh fruits and vegetables consumed is a healthy dietary choice, it does not demonstrate an understanding of the discharge teaching for a client with AIDS.
Choice B is wrong because while cleaning up areas soiled with body fluids is important, using alcohol and immediately disposing of the trash is not necessary.
Choice D is wrong because taking clothes to the dry cleaners to sterilize them is not necessary for a client with AIDS.