A pregnant woman is attending her second postpartum visit. Prenatal lab work indicates she is not immune to the rubella virus. What is the most appropriate nursing intervention?
a. Provide the rubella vaccine as ordered by the physician immediately.
b. Inform the woman she should receive the vaccine in the hospital after delivery.
c. Hold all immunizations until 1 month postpartum.
d. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.
ANS: B
The rubella vaccine is contraindicated during pregnancy. A woman should be instructed to avoid pregnancy for at least 1 month following rubella immunization. It is not necessary to hold all immunizations until 1 month postpartum.
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The Health Care Financing Administration (HCFA) conducts unannounced institutional surveys annually to assess the quality of life for the patients. The findings of the surveys are reported to:
a. various licensing boards. b. facility administrators. c. the public. d. the U.S. Department of Health and Human Services.
A client is to have a nephrostomy. A concern the nurse might anticipate relates to the client's
a. reproductive ability. b. ability to think rationally. c. body image. d. friends.
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Indicate whether the statement is true or false
When a client with advanced cancer is in pain and complains to the nurse that the nurse does not respond to the call light fast enough, the client is probably expressing which of the following emotions?
a. fear b. dislike of nurses c. impatience d. anger