Several clients have come to the clinic for immunizations. When reviewing their medical records, the nurse identifies which of the following as a contraindication for the administration of vaccines and toxoids? Select all that apply
A) Acute nonfebrile illness
B) Leukemia
C) Chronic prednisone therapy
D) HIV
E) Clients older than 70 years of age
Ans: B, C, D
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Vaccines and toxoids are contraindicated with acute febrile illnesses, leukemia, lymphoma, immunosuppressive illness (HIV) or drug therapy (prednisone), and nonlocalized carcinoma.
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The nurse has to administer Lovenox (enoxaparin sodium) 30 mg subcutaneously every 12 hours postoperatively. The medication is available as Lovenox (enoxaparin sodium) 40 mg/0.4 mL
How many milliliters of medication would the nurse draw up in the syringe? A) 0.2 B) 0.25 C) 0.3 D) 0.35
The nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow is:
1. allergenic. 2. allogeneic. 3. peripheral blood stem cell. 4. autologous.
Joe comes in to see the diabetic nurse educator with questions about his diet. He is 6'3" tall and weighs 200 pounds. He walks to and from work (about 2 miles) daily and tries to eat a healthy diet
He recently changed jobs and now is involved with fieldwork that involves much more exercise. He is concerned because recently he has begun to feel fatigued during the day and several times felt dizzy in the afternoon. He is following a low-carbohydrate low-fat diet. The nurse explains that: 1. A low-carbohydrate diet is good for diabetics and has been shown to improve glucose control. 2. A low-fat diet has been proven to increase the rate of metabolism in diabetic clients and help with weight control. 3. Increased exercise is beneficial for clients with diabetes but should be increased very slowly over time. 4. Diets that restrict calories from specific food groups are not recommended for diabetics and could result in hypoglycemia especially with increased exercise.