NRNP 6540 Week 1 knowledge check 2022/2023

NRNP 6540 Week 1 knowledge check 2022/2023 What is the maximum number of doses of PPSV23 that can be given to high-risk older adults 65 or older? You have an 89-year-old patient on hospice care in a long-term care facility. The protocol is for flu vaccine to be given to all patients each fall. Would you vaccinate? Why, or why not? In older patients about to receive a solid organ transplant, which immunization would you withhold and for what reason? When would the influenza vaccine be absolutely contraindicated? E. D. is a 78-year-old woman who does not remember if she has ever had the immunization for herpes zoster. She does remember having chicken pox as a child. What would you recommend for her? Describe the recommended schedule for Hepatitis B vaccination in patients on hemodialysis, peritoneal, and home dialysis Which immunization would you not give your 65-year-old patient with HIV infection and a CD4 count less than 200/mm? What is your rationale for withholding the immunization? You see a 66-year-old patient who is otherwise healthy, and their vaccine history is unknown. What immunizations would you consider giving this patient Your 78-year-old patient has never had a flu vaccine, and states “I have heard that the flu shot gives you the flu. I don’t want one.” What education would you provide for this patient? What are the most current recommendations for vaccination of patients near the end of life, including hospice patients? This study source was downloaded by from CourseH on :23:23 GMT -06:00 1. You see a 66-year-old patient who is otherwise healthy, and their vaccine history is unknown. What immunizations would you consider giving this patient? A-A 66-year old patient who is otherwise healthy with an unknown vaccine history can be given the following immunization based on the recommendations of CDC: Influenza inactivated (IIV) or Influenza recombinant (RIV), Tetanus, diphtheria, pertussis (Tdap or Td), Zoster recombinant (RZV) preferred, or Zoset live (ZVL), and Pneumococcal polysaccharide (PPSV23). 2. Name the most common allergic response to the flu vaccine, A-Life threatening allergic responses, including anaphylaxis, to flu vaccines are rare. The most common allergic response to flu vaccine include difficulty breathing , itchiness, and hives. Redness, soreness, itchiness, and swelling to the site may also occur. 3. You are caring for older adults in a nursing home. As a general rule, patients over 65 years of age and in general good health can receive which immunizations? A-For older adults (65 years or older) with general good health, as a general rule, they can receive the following immunizations: Influenza inactivated (IIV) or Influenza recombinant (RIV), Tetanus, diphtheria, pertussis (Tdap or Td), Zoster recombinant (RZV) preferred, or Zoset live (ZVL), and Pneumococcal polysaccharide (PPSV23). 4. E. D. is a 78-year-old woman who does not remember if she has ever had the immunization for herpes zoster. She does remember having chicken pox as a child. What would you recommend for her? A- E.D can be given a herpes zoster vaccine. According to CDC, when vaccinating people 60 years or older, there is no need to screen for a history of chickenpox (varicella) infection or conduct laboratory testing for serologic evidence of prior varicella infection. A patient can receive the herpes zoster vaccine even if she reports she has not had varicella. B5. Describe two reasons for an unsatisfactory immune response to the hepatitis B vaccination in older adults. How long after vaccination would you test to determine a protective level, and what would this test be looking for?