The reason that two MMR vaccines at least a month apart are recommended is:
1. The second dose of MMR "boosts" the immunity built from the first dose.
2. Two vaccines 1 month apart is the standard dosing for all live virus vaccines.
3. If the two MMR vaccine doses are given too close together there is a greater likelihood of severe localized reaction to the vaccine.
4. Only 95% of patients are fully immunized for measles after the first vaccine, with 99% having immunity after two doses of MMR.
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When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should:
a. Check for the presence of claudication. b. Refer the individual for further evaluation. c. Consider this finding as normal, and proceed with the peripheral vascular evaluation. d. Ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
The nurse is working with a client who has had difficulty maintaining adequate control of his type 2 diabetes. During the course of the conversation, the client mentions that he gets tired of adding up all the calories and forgets to do it sometimes
What suggestion can the nurse make to help this client? A) Download an app to his smartphone from the ADA to help count calories. B) Switch to the exchange list system. C) Concentrate on checking his glucose before each meal. D) Make a daily plan and follow it precisely.
Jamie is a 24-year-old female with a urinary tract infection. She is healthy, afebrile, and her only drug allergy is sulfa, which gives her a rash. An appropriate first-line antibiotic choice for her would be:
1. Azithromycin 2. Trimethoprim/sulfamethoxazole 3. Ceftriaxone 4. Ciprofloxacin
A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:
1. Contact the social worker. 2. Develop a trusting relationship. 3. Schedule the patient for prenatal classes. 4. Teach the patient about proper nutrition.