The nurse has contributed to a staff education program on immunity. Which participant response indicates a correct understanding of the type of immunity that protects newborns for the first 3 months of life as a result of maternal transmission of IgG?
a. "Active natural immunity occurs."
b. "Passive natural immunity occurs."
c. "Active artificial immunity occurs."
d. "Passive artificial immunity occurs."
ANS: B
One form of naturally acquired passive immunity includes placental transmission of antibodies from mother to fetus. D. Artificially acquired passive immunity involves injection of preformed antibodies; this may help prevent disease after exposure to a pathogen such as the hepatitis B virus. A. Active immunity means that the person produces his or her own antibodies. C. Artificially acquired active immunity occurs as the result of a vaccine that stimulates production of antibodies and memory cells.
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As the moment of death approaches, which of the following does the nurse encourage the family to do?
A) Have the family sit in front of the client so they can be seen. B) Rub the client's hand and arm to comfort the client. C) Speak to the client in a calm and soothing voice. D) Lie next to the client and hold the client.
A client with lymphosarcoma experiences nausea after undergoing chemotherapy. Which of the following measures should the nurse suggest to help the client reduce the feeling of nausea?
A) Administer immunosuppressive drugs. B) Apply ice to the skin for brief periods. C) Offer clear liquids such as carbonated beverages, water, and ice pops. D) Advise bed rest as much as possible.
A patient inadvertently took an excessive dose of warfarin (Coumadin) and was immediately treated with IV vitamin K (Phytonadione). The symptoms that would most concern the nurse after administration of vitamin K are
a. mild pruritus, pulse of 92. b. respirations of 32, bronchoconstriction, O2 sats of 83%. c. prolonged sensitization to warfarin (Coumadin). d. blood pressure of 107/52 and bleeding gums.
A client has a strong urge to push and is 8 centimeters dilated. As the nurse, you should understand that pushing now may prolong the labor process because
a. the blood flow increases b. the cervix becomes edematous c. the client becomes exhausted d. 4-degree tear of the perineumcould occur