old CH13
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old CH13

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Questions and Answers

An older patient who recently returned from visiting family in New York spends a great deal of time outdoors and often receives mosquito bites. Which health problem should the nurse suspect when the patient reports muscle pain, fever, headache, and extreme malaise?

  • Dementia
  • Depression
  • Tuberculosis
  • West Nile virus (correct)
  • An older patient seeks medical attention for drainage from the penis. What should the nurse make a priority for this patient?

  • Monitoring body temperature and orientation
  • Explaining sexually transmitted diseases(STDs) (correct)
  • Emphasizing the need for an adequate intake of fluids each day
  • Explaining the importance of thoroughly cleaning the genitalia
  • An older adult with a head cold is asking for an antibiotic to heal the infection. How should the nurse respond to this patient?

  • "You will need to take the medication for several weeks"
  • "I'll ask the primary care provider for a prescription for you."
  • "There is only one type of antibiotic available for your cold and your are allergic to it."
  • "Antibiotics taken when not necessary can cause the development of other infections" (correct)
  • A newly admitted resident to a nursing facility has a draining wound on the left lower leg. What should the nurse do to control the spread of microorganisms from this wound?

    <p>Follow standard precautions</p> Signup and view all the answers

    The nurse notes that dog excrement is on the kitchen floor of an older adult. What should the nurse suggest to the older person?

    <p>Protect the skin when cleaning the excrement</p> Signup and view all the answers

    The nurse notes that an older community person has quit smoking and stops visiting the neighborhood tavern on weekends. What outcome should these actions have on the person?

    <p>Improved immune system</p> Signup and view all the answers

    An older person is surprised to learn that he has chronic bacteremia. What should the nurse encourage the patient to do to limit the extent of this infection

    <p>Increase fluids</p> Signup and view all the answers

    A 68-year-old man has not been seen by a primary care physician since age 55 and has no immunization history. Which vaccinations should be considered for this patient?

    <p>Tdap, flu shot, pneumonia vaccine</p> Signup and view all the answers

    An older patient received a dose of tetanus diphtheria and pertussis vaccine(Tdap)at age 68. At which age should the nurse remind the patient to receive an additional dose of this vaccine?

    <p>78 years</p> Signup and view all the answers

    An older person asks why a shingles vaccination is necessary. What should the nurse say to this person?

    <p>&quot;It prevent the development of shingles in people who have had chicken pox.&quot;</p> Signup and view all the answers

    An older patient is demonstrating confusion. What should the nurse do first before assessing this patient's vital signs?

    <p>Check the patient's baseline vital signs</p> Signup and view all the answers

    An older patient comes to the emergency department with a sudden onset of abdominal pain. fever vomiting, and diarrhea. What care should the nurse expect to be prescribed for this patient? Select all that apply.

    <p>Stool culture</p> Signup and view all the answers

    The nurse is instructing an older person on the ways to reduce infection. What should the nurse include about hand hygiene? Select all the apply

    <p>Use soap</p> Signup and view all the answers

    The public health nurse is determining the number of seasonal influenza vaccination doses that will be needed in a community. Which people should the nurse include in this calculation? Select all that apply

    <p>Residents of nursing homes</p> Signup and view all the answers

    The nurse is assessing an older patient's home environment. Which areas should be assessed that affect immunity? Select all that apply

    <p>Review of pets and pet care</p> Signup and view all the answers

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