Author Question: A nurse is providing pneumonia vaccinations in a community setting. Due to limited finances, the ... (Read 70 times)

urbanoutfitters · **on:** Jun 25, 2018

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 · **Reply #1 on:** Jun 25, 2018

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.