A nurse has given an infant a vaccination. Which information is important to document specifically for this vaccination?
A.
Date of next regularly scheduled immunization
B.
Drug, dose, site of administration, infant's reaction
C.
Parental education provided before administration
D.
Vaccine information sheet given before administration
ANS: D
The nurse is legally required to provide the appropriate vaccine information sheet to the parent/guardian prior to administering a vaccination. The other information is important to document too, but is not specific for vaccinations.
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a. Delayed capillary refill b. Bilateral equal pulses c. Absence of pain and swelling d. Limb is the same color as the unaffected side
Pain is experienced differently by different people, because pain perception is based on which of the following? (Select all that apply.)
a. Past pain experiences b. Personal values c. Cultural expectations d. Emotions
The nurse is providing education to a pediatric client diagnosed with diabetes. The client will be playing soccer over the summer. Which change in the client's management will the nurse explore during this education session?
1. Increased food intake 2. Decreased food intake 3. Increased need for insulin 4. Decreased risk of insulin reaction
A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm. The nurse is using vibroacoustic stimulation to reduce the length of time needed to obtain the NST. Fetal well-being requires
A. 1 acceleration to 145 bpm B. 2 accelerations to 140 bpm C. 2 accelerations to at least 145 bpm