A nurse is preparing to discharge a postpartum client. The nurse notes on her chart that she is nonimmune to rubella. The nurse:

1. Administers a rubella vaccine prior to discharge.
2. Instructs the client to obtain a rubella vaccine after 1 month has elapsed.
3. Charts this information in the discharge summary notes.
4. Takes no action because none is needed.


1
Rationale:
1. If the postpartum client is nonimmune to rubella, a rubella vaccine is administered prior to discharge.
2. The client should not be instructed to wait for 1 month to have the rubella vaccine if she is not immune to rubella.
3. Simply charting the information is not appropriate.
4. Taking no action is not appropriate.

Nursing

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Which of the following criteria would support checking blood levels for the diagnosis of diabetes mellitus?

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a. "What about chemo concerns you?" b. "Chemo is so much better than it used to be." c. "Wow! I can sure understand that!" d. "Have you had chemo before?"

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The patient asks the nurse why the birth certificate is important. The nurse explains that statistics gathered from the birth certificate are used to:

a. Supplement data obtained in the U.S. census. b. Track maternal mortality rates. c. Guide the allocation of resources for mothers and infants. d. Document outcomes of all pregnancies in the United States.

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