The nurse discusses the influenza vaccination with a group of ...

[ETearle]

The nurse discusses the influenza vaccination with a group of older adults. An 87-year-old speaks up and says I had the flu vaccine last October, and I still got the flu..
 
  Which of the following statements if made by the nurse most accurately relates to the person's situation? A) You should receive the live attenuated influenza vaccine (LAIV) nasal spray instead..
  B) The recommendation would be for you to not get the vaccine this year, because it did not prove effective in you last year..
  C) I would advise you to get the vaccine earlier in the fall to improve its effectiveness..
  D) Although the vaccine did not prevent influenza, it probably reduced the severity of the infection..

Question 2

An 80-year-old patient who has just spent 2 days at the beach with his family is demonstrating confusion, dry skin, a dry brown tongue, sunken cheeks, and concentrated urine. What health problem do the patient's symptoms most likely indicate?
 
  A) Dehydration
  B) Renal failure
  C) Hyperthermia
  D) Food poisoning

[Ahnyah]

Answer to Question 1

D
Feedback:
Although the elderly have lower antibody titers after vaccination than younger adults, vaccination can prevent severe complications associated with influenza, even if it does not prevent the disease itself. The LAIV is for those aged 2 through 49.

Answer to Question 2

A
Feedback:
The nurse has identified the signs of dehydration in older adults. The manifestations of confusion, dry skin, dry brown tongue, sunken cheeks, and concentrated urine may or may not indicate renal failure, hyperthermia, or food poisoning.