A 14-year-old adolescent never had chickenpox as a child. Which should the nurse recommend?
a. One dose of the varicella vaccination
b. Two doses of the varicella vaccination 4 weeks apart
c. One dose of the varicella immune globulin
d. No vaccinations—the child is past the age to receive it
ANS: B
All adolescents should also be assessed for previous history of varicella infection or vaccination. Vaccination with the varicella vaccine is recommended for those with no previous history; for those with no previous infection or history, the varicella vaccine may be given in two doses 4 or more weeks apart to adolescents 13 years or older. The varicella immune globulin is given to immunosuppressed children exposed to chickenpox to boost immunity; it is only temporary. The varicella vaccination should be given to adolescents, no matter the age, who have not had chickenpox as a child.
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A client states, "I don't watch television because I cannot stand how the people look on my television.". Which question should the nurse ask next?
1. "What is it about how the people look on the television that bothers you?" 2. "Do you have an older television set that needs repair?" 3. "Is the screen on your television dusty?" 4. "Can you see the writing on your prescription bottles?"
In the context of electrolytes, which of the following statements is true about calcium in the body?
A. Excessive amounts of calcium in the blood cause hyperexcitability of nerve and muscle fibers (tetany). B. When given intravenously, calcium is usually administered in the form of calcium chloride or calcium gluconate. C. A deficiency of calcium produces muscle weakness and may lead to cardiac and respiratory failure. D. The normal serum concentration of calcium ranges between 5.0 and 6.5 mEq/l.
An older patient comes to the emergency room with a black eye and is diagnosed with a broken right arm. What nursing assessment findings are indicative of potential physical abuse?
1. The patient is 65 years old and has no history of falls. 2. The client states "I fell on a shovel while clearing snow from a walkway." 3. The patient is confused about how they broke their arm and cannot recount events. 4. The patient is African American and states "I have broken many bones in my lifetime."
Unprofessional conduct is defined as:
a. behaving in a manner that may attract a custodial sentence if proven. b. conduct substantially below the standard reasonably expected of a registered health practitioner of an equivalent level of training or experience. c. requiring immediate suspension of the practitioner's licence to practise while investigations are undertaken to substantiate a complaint. d. conduct of a lesser standard than that which might reasonably be expected of the health practitioner by the public or the practitioner's professional peers.