The parent of a young patient asks the nurse why the child should receive the measles-mumps-rubella vaccination. What is the nurse's best response?
1. "Your child will develop immunity to these illnesses even without the vaccination, but at a slower rate."
2. "The child can always receive the vaccination later."
3. "Receiving the vaccination will cause your child to develop active acquired immunity, which will protect against the development of these illnesses."
4. "I know the Centers for Disease Control expects everyone to have this vaccination, but you can always refuse."
3
Rationale 1: The child is unlikely to develop immunity to these illnesses unless vaccinated or unless the child experiences the diseases.
Rationale 2: The measles-mumps-rubella vaccination is often administered to school-age children; suggesting the child may receive the vaccination at a later time does not answer the parent's question.
Rationale 3: Acquired immunity is that which occurs after birth, after either contracting the disease or through a vaccination. The vaccination will stimulate the development of active immunity and prevent the development of the illnesses.
Rationale 4: The Centers for Disease Control does support that every person receive this immunization. The nurse should not encourage the parent to refuse this vaccination for the child.
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A patient asks the nurse how his cancer developed. Which statement should the nurse avoid in responding to this patient?
1. "The theory of cellular mutation suggests that carcinogens cause mutations in cellular RNA." 2. "Oncogenes are genes that promote cell proliferation and are capable of triggering cancerous characteristics." 3. "The majority of people do not have an inherited form of cancer." 4. "Known carcinogens include viruses, drugs, hormones, and chemical and physical agents."
A patient reports difficulty staying awake during the daytime in spite of getting adequate sleep every night. Which medication will the nurse expect the provider to order for this patient?
a. Caffeine (NoDoz) b. Methylphenidate (Ritalin) c. Modafinil (Provigil) d. Theophylline
The correct statement regarding use of a fire extinguisher is which of the following?
A. All fire extinguishers work for any kind of fire. B. Squeeze the handle before you pull the pin to activate the fire extinguisher. C. Aim the fire extinguisher nozzle at the base of the fire, not the flames. D. Point the fire extinguisher forward and release the spray in a straight line.