The nurse is teaching a mother about caring for her child who has AIDS. Which of the following immunizations should a child with AIDS not receive?
1. Diphtheria and tetanus toxiods and acellular pertussis vaccine (DTaP)
2. Haemophilus influenzae type B (HIB conjugate vaccine)
3. Varicella vaccine
4. Hepatitis B vaccine (hep B)
3. Varicella vaccine
Rationale:
A child with an immune disorder should not be immunized with a live varicella vaccine because of the risk of contracting the disease. DTaP, HIB, and hepatitis B vaccinations are not a live vaccine, and should be given on schedule.
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A 40-year-old patient had an annual physical exam with routine lab tests. The patient's lab values include the following:
Hgb 13.8 g/dL Hct 40% BG fasting 146 mg/dL Triglycerides 200 mg/dL Total cholesterol 231 mg/dL LDL 175 mg/dL HDL 30 mg/dL The client was counseled to begin an exercise and diet regime for his health. After implementing healthy lifestyle changes 6 months ago, follow-up lab tests were drawn. Which of the following lab values indicate that the changes have been effective? A) Triglycerides elevated to 210 mg/dL B) LDL level decreased to 120 mg/dL C) Hgb decreased to 12.3 g/dL D) HDL increased to 35 mg/dL
A 52-year-old mother of three has just been diagnosed with lung cancer. The health care provider discusses treatment options and makes recommendations to this patient
After the health care provider leaves the room, the patient asks the nurse how the treatment is decided on. What would be the nurse's best response? A) "The type of treatment depends on the patient's age and health status." B) "The type of treatment depends on what the patient wants when given the options." C) "The type of treatment depends on the cell type of the cancer, the stage of the cancer, and the patient's health status." D) "The type of treatment depends on the discussion between the patient and the health care provider over which treatment is best."
Which topic will the nurse plan to include in discharge teaching for a patient with systolic heart failure and an ejection fraction of 33%?
a. Need to begin an aerobic exercise program several times weekly b. Use of salt substitutes to replace table salt when cooking and at the table c. Benefits and side effects of angiotensin-converting enzyme (ACE) inhibitors d. Importance of making an annual appointment with the primary care provider
The nurse has been caring for a child in the home who has a tracheostomy and is oxygen dependent. The nurse wants to do the care in the morning due to the geographic location of the seven children in the caseload
The family requests the care be done after lunch because it fits their schedule better. Select the best response by the nurse. a. "I'm sorry. It is impossible for me to do this in the afternoon. I wish I could, but I cannot." b. "If I give the care in the afternoon, it means that six other children's schedules have to be rearranged and that is not fair to them." c. "Let's look at what time is in the child's best interest and then at what you and I can change to better accommodate that." d. "I will see if the home health agency can find another nurse who can meet your preferred schedule."