The nurse is preparing an educational session on the importance ...

[CORALGRILL2014]

The nurse is preparing an educational session on the importance of high-risk populations receiving an annual influenza vaccination. Which clients are considered high-risk for developing complications from the flu?
 
  Select all that apply.
  A) A 25-year-old pregnant woman at 20 weeks' gestation
  B) A 65-year-old woman
  C) A 3-year-old with cystic fibrosis
  D) A 35-year-old man with a severe allergy to eggs
  E) A 20-year-old healthcare worker

Question 2

A client has just recently been diagnosed with rheumatoid arthritis (RA). The client asks the nurse if RA always causes crippling deformities. Which teaching topics will the nurse include as ways to decrease the likelihood of crippling deformities?
 
  Select all that apply.
  A) Ignore pain as a warning signal.
  B) Type instead of hand-writing items if possible.
  C) Use stronger joints for most activity.
  D) Avoid stress to any current area of deformity.
  E) Stop an activity if it is beyond your ability to perform.

[leahm14]

Answer to Question 1

Answer: A, B, C, E

Pregnant women, particularly during the second and third trimesters, are at increased risk of complications. People at increased risk of influenza or its complications include infants, young children, and anyone age 50 or older. Patients with chronic disorders, especially diabetes and cardiac, renal, or pulmonary diseases, are more susceptible as well. The annual flu vaccination is recommended for all healthcare workers. A 35-year-old man with a severe allergy to eggs should not get a flu shot, because the vaccine contains eggs and it is not recommended.

Answer to Question 2

Answer: B, C, D, E

The client with RA should never attempt to push a joint beyond its ability. Writing requires using a strong grip, so typing is preferable. Using a stronger joint or part of the body, such as the palm, to carry items is preferable to grasping. Pain is a warning signal, and the client with RA should stop any activity that causes pain. When performing a task, the client should avoid stress in the area of the deformity to help prevent further deformities.

[CORALGRILL2014]

Excellent

[bblaney]

TYSM