Nokea
An older adult patient tells the nurse that she had chicken pox as a child and is eager to be vaccinated against shingles. What should the nurse teach the patient about this vaccine?
- A. Vaccination against shingles is contraindicated in patients over the age of 80.
- B. Vaccination can reduce her risk of shingles by approximately 50%.
- C. Vaccination against shingles involves a series of three injections over the course of 6 months.
- D. Vaccination against shingles is only effective if preceded by a childhood varicella vaccination.
Correct Answer: B
Rationale: Zostavax reduces shingles risk by about 50% in adults over 60. It is a single injection, not contraindicated by age, and effective regardless of prior varicella vaccination.
You may also like to solve these questions
A nurse is participating in a vaccination clinic at the local public health clinic. The nurse is describing the public health benefits of vaccinations to participants. Vaccine programs addressing which of the following diseases have been deemed successful? Select all that apply.
- A. Polio
- B. Diphtheria
- C. Hepatitis
- D. Tuberculosis
- E. Pertussis
Correct Answer: A,B,E
Rationale: Vaccination programs for polio, diphtheria, and pertussis are highly successful. No tuberculosis vaccine exists, and hepatitis vaccination success is less pronounced.
A public health nurse promoting the annual influenza vaccination is focusing health promotion efforts on the populations most vulnerable to death from influenza. The nurse should focus on which of the following groups?
- A. Preschool-aged children
- B. Adults with diabetes and/or renal failure
- C. Older adults with compromised health status
- D. Infants under the age of 12 months
Correct Answer: C
Rationale: Older adults with compromised health status face the highest influenza mortality risk, making them the priority for vaccination promotion.
A nurse who provides care in a busy ED is in contact with hundreds of patients each year. The nurse has a responsibility to receive what vaccine?
- A. Hepatitis B vaccine
- B. Human papillomavirus (HPV) vaccine
- C. Clostridium difficile vaccine
- D. Staphylococcus aureus vaccine
Correct Answer: A
Rationale: Hepatitis B vaccine is essential for healthcare workers due to exposure risk to bloodborne pathogens. HPV is sexually transmitted, and no vaccines exist for C. difficile or S. aureus.
A patients diagnostic testing revealed that he is colonized with vancomycin-resistant enterococcus (VRE). What change in the patients health status could precipitate an infection?
- A. Use of a narrow-spectrum antibiotic
- B. Treatment of a concurrent infection using vancomycin
- C. Development of a skin break
- D. Persistent contact of the bacteria with skin surfaces
Correct Answer: C
Rationale: A skin break provides a portal for VRE to cause infection from colonization. Antibiotics or prolonged skin contact are less likely to trigger infection.
An immunosuppressed patient is receiving chemotherapy treatment at home. What infection-control measure should the nurse recommend to the family?
- A. Family members should avoid receiving vaccinations until the patient has recovered from his or her illness.
- B. Wipe down hard surfaces with a dilute bleach solution once per day.
- C. Maintain cleanliness in the home, but recognize that the home does not need to be sterile.
- D. Avoid physical contact with the patient unless absolutely necessary.
Correct Answer: C
Rationale: A clean but non-sterile home environment is sufficient for immunosuppressed patients, as intrinsic bacteria pose greater risks than environmental ones. Avoiding vaccinations or contact is unnecessary, and daily bleach cleaning is excessive.