A nurse is providing pneumonia vaccinations in a community ...

[urbanoutfitters]

A nurse is providing pneumonia vaccinations in a community setting. Due to limited finances, the event organizers must limit giving the vaccination to priority groups.
 
  What clients would be considered a priority when administering the pneumonia vaccination? (Select all that apply.)
  a.
  22-year-old client with asthma
  b.
  Client who had a cholecystectomy last year
  c.
  Client with well-controlled diabetes
  d.
  Healthy 72-year-old client
  e.
  Client who is taking medication for hypertension

Question 2

A nurse admits a client from the emergency department. Client data are listed below:
 
  History
  Physical Assessment
  Laboratory Values
  70 years of age
  History of diabetes
  On insulin twice a day
  Reports new-onset dyspnea and productive cough
  Crackles and rhonchi heard throughout the lungs
  Dullness to percussion LLL
  Afebrile
  Oriented to person only
  WBC: 5,200/mm3
  PaO2 on room air 65 mm Hg
  What action by the nurse is the priority?
  a.
  Administer oxygen at 4 liters per nasal cannula.
  b.
  Begin broad-spectrum antibiotics.
  c.
  Collect a sputum sample for culture.
  d.
  Start an IV of normal saline at 50 mL/hr.

[itsakadoozi]

Answer to Question 1

ANS: A, C, D, E
Clients over 65 years of age and any client (no matter what age) with a chronic health condition would be considered a priority for a pneumonia vaccination. Having a cholecystectomy a year ago does not qualify as a chronic health condition.

Answer to Question 2

ANS: A
All actions are appropriate for this client who has manifestations of pneumonia. However, airway and breathing come first, so begin oxygen administration and titrate it to maintain saturations greater than 95. Start the IV and collect a sputum culture, and then begin antibiotics.

[urbanoutfitters]

Gracias!

[FergA]

TYSM