Nokea
The influenza vaccine is in short supply. Which group of clients would the public health nurse consider priority when administering the vaccine?
- A. Elderly and chronically ill clients.
- B. Child-care workers and children less than four (4) years of age.
- C. Hospital chaplains and health-care workers.
- D. Schoolteachers and students living in a dormitory.
Correct Answer: A
Rationale: Elderly and chronically ill (A) are at highest risk for flu complications, prioritizing them. Child-care workers/children (B), chaplains/HCWs (C), and teachers/students (D) are secondary.
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A patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in so the results can be interpreted?
- A. 24-48 hours
- B. 12-24 hours
- C. 48-72 hours
- D. 24-72 hours
Correct Answer: C
Rationale: The PPD skin test (Mantoux) is read 48-72 hours after administration to assess for induration, as this is the standard timeframe for an accurate immune response to be visible.
Which nursing intervention is most important in response to the client's physical symptoms at this time?
- A. Administering oxygen by face mask
- B. Assessing the client's capillary refill
- C. Having the client rate the pain on a pain scale
- D. Requesting a physician's order for cardiac enzymes
Correct Answer: A
Rationale: Administering oxygen addresses hypoxia, a critical concern in pulmonary embolism due to impaired gas exchange.
Which statement indicates the client with a total laryngectomy requires more teaching concerning the care of the tracheostomy?
- A. I must avoid hair spray and powders.
- B. I should take a shower instead of a tub bath.
- C. I will need to cleanse around the stoma daily.
- D. I can use an electric larynx to speak.
Correct Answer: D
Rationale: Using an electric larynx (D) is related to speech, not tracheostomy care, indicating a misunderstanding of tracheostomy management. Avoiding hair spray/powders (A), showering (B), and daily stoma cleaning (C) are correct tracheostomy care practices.
The nurse is caring for a client who is admitted with histoplasmosis. What drug is most likely to be prescribed for this client?
- A. Penicillin
- B. Chloromycetin
- C. Streptomycin
- D. Amphotericin B
Correct Answer: D
Rationale: Amphotericin B is the primary antifungal drug used to treat histoplasmosis.
The nurse writes a problem of 'impaired gas exchange' for a client diagnosed with cancer of the lung. Which interventions should be included in the plan of care? Select all that apply.
- A. Apply O2 via nasal cannula.
- B. Have the dietitian plan for six (6) small meals per day.
- C. Place the client in respiratory isolation.
- D. Assess vital signs for fever.
- E. Listen to lung sounds every shift.
Correct Answer: A,D,E
Rationale: Oxygen (A), fever assessment (D), and lung sounds (E) address gas exchange in lung cancer. Small meals (B) aid nutrition, not gas exchange, and isolation (C) is unnecessary.