Nokea
A 68-year-old client states he decided not to take the herpes zoster (shingles) immunization because his friend had the immunization and still developed shingles. Which of the following information should the nurse include when discussing this issue with the client? Select all that apply.
- A. Shingles rarely occurs after immunization.
- B. The immunization decreases the severity of infection.
- C. The immunization decreases the likelihood of postherpetic syndrome.
- D. The immunization cuts the chance of developing shingles in half.
- E. The client should never take advice from friends.
Correct Answer: B,C,D
Rationale: The shingles vaccine reduces severity (B), postherpetic syndrome risk (C), and shingles incidence by about 50% (D). It doesn't eliminate risk (A), and dismissing friends' advice (E) is inappropriate.
You may also like to solve these questions
Which selection would provide the most calcium for the client who is 4 months pregnant?
- A. A granola bar
- B. A bran muffin
- C. A cup of yogurt
- D. A glass of fruit juice
Correct Answer: C
Rationale: Yogurt is a rich source of calcium, essential for fetal bone development during pregnancy.
The nurse is assessing a client with suspected pneumothorax. Which of the following findings would the nurse expect?
- A. Bilateral wheezing.
- B. Decreased breath sounds on one side.
- C. Clear, resonant percussion sounds.
- D. Slow, shallow respirations.
Correct Answer: B
Rationale: decreased breath sounds on the affected side are a hallmark of pneumothorax due to lung collapse
Following procurement of organs from a standard criteria donor (donor younger than 50 years who suffered brain death), within what time period should the heart and lungs be transplanted?
- A. 4-6 hours
- B. 8-12 hours
- C. 24 hours
- D. 36 hours
Correct Answer: A
Rationale: Heart and lungs have a short ischemic tolerance, requiring transplantation within 4-6 hours (A) to ensure viability. Longer periods (B, C, D) risk organ failure.
The charge nurse in a cardiac ICU is precepting a student nurse. Which action by the student nurse requires immediate intervention by the charge nurse?
- A. The student nurse stops the tube feeding to measure residual.
- B. The student nurse lifts the urinary catheter bag up and over the client while turning her.
- C. The student nurse scans the client armband and the medication barcode when administering medication.
- D. The student nurse observes two other nurses verifying and administering blood to the client while the student nurse records the vital signs just prior to administration.
Correct Answer: B
Rationale: Lifting the urinary catheter bag above the bladder risks backflow of urine, increasing infection risk, and requires immediate intervention.
The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?
- A. Painless vaginal bleeding
- B. Abdominal cramping
- C. Throbbing pain in the upper quadrant
- D. Sudden, stabbing pain in the lower quadrant
Correct Answer: D
Rationale: A ruptured ectopic pregnancy typically causes sudden, severe lower quadrant pain due to internal bleeding.