Vaccination for Older Adults
Influenza
Single dose Herpes zoster for people >60 yr
TDaP: tetanus, diptheria (bacterial infection), pertussis
Adults should get one dose of Tetanus and diptheria (Td) every 10 years
If adults need protection against whopping cough, they can get TDAP an...
HURST: QUESTION BANK
Vaccination for Older Adults - correct answer Influenza Single dose Herpes zoster for people >60 yr
TDaP: tetanus, diptheria (bacterial infection), pertussis Adults should get one dose of Tetanus and diptheria (Td) every 10 years
If adults need protection against whopping cough, they can get TDAP anytime
Pneumococcal vaccine: all adults >65
OLDER ADULTS DO NOT NEED MMR
Dabigatran - correct answer Anticoagulant
Do not take with other anticoagulant bc it will increase bleeding risk
This medication decreases risk of stroke and embolism in clients with atrial fibrillation
Take this with food to decrease gastric effects (PPI and histamin2 blockers can decrease this as well)
Do NOT store this in weekly pill organizer. This is sensitive to moisture and should be kept in the manufactoring box
Post Thyroidectomy Complications - correct answer Check for hypocalcemia bc they may have removed the parathyroids when taking out the thyroid Ballottement - correct answer examines the abdomen when ascites is present
Palpate the abdomen to detect excessive amounts of fluid
Apex hears which heart sound best? - correct answer S1 (first heart sound)
Can the nurse advise a client to put off surgery? - correct answer NO! This has to be discussed between patient and HCP
Kernig's Sign - correct answer supine client that is unable to straighten the leg when it is fully flexed at knee and hip
Pain and resistance= positive Kernig sign
Brudzinski's Sign - correct answer involuntary flexion of hip and knee when neck is passively flexed
Meningitis S/S - correct answer Photophobia
Severe headache
Nichal rigidity Positive Brudzinski sign
Positive Kernig sign
ET tube cuff assessment/checking - correct answer should be done by a RN, not a LPN If the question doesn't confirm the diagnosis... - correct answer then you need to identify client's symptoms first
For example: What is the first nursing action that should be taken in caring for a client with SYMPTOMS of tb?
It doesn't say that the client has TB... it says the client has symptoms of TB
1 Year Old - correct answer Gets to a standing position without help
Can assist in getting dressed by putting out arm or leg
18 months - correct answer are able to say several single words
are able to pull toys while walking
Timolol - correct answer beta blocker
decreases aqueous humor production
Miotics - correct answer medications that cause pupillary constriction Miosis: constriction of pupils
Alzheimer's - correct answer water heater should be set <120 degrees
limit size and number of mirrors at home --> this causes them confusion
make floors and walls different colors Principles of Crisis Intervention - correct answer Be specific and use concise statements
Encourage expression of feelings
Offer a calm, controlled precense
Allow sufficient time for individuals to process information
Let them know that others in similar situations have similar emotions
*Clarify distortions by getting person to look at situation realisitcally*
Empower person by allowing them to make informed choices
Assist person in confronting reality
Zolpidem - correct answer used for insomnia
Client may do things in sleep that they will not remember the next day (like sleep drive, make phone calls, prepare food while asleep, have no memory of activity)
S/S
-daytime drowsiness
-dizziness
Signs of Anemia in Children - correct answer Paleness
Fatigue
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