How should the nurse respond to a parent who asks, "How can I protect my baby from whooping cough?"
a. "Don't worry; your baby will have maternal immunity to pertussis that will last until your baby is approximately 18 months old.".
b. "Make sure your child gets the pertussis vaccine.".
c. "See the doctor when the baby gets a respiratory infection.".
d. "Have your pediatrician prescribe erythromycin.".
B
Primary prevention of pertussis can be accomplished through administration of the pertussis vaccine. Infants do not receive maternal immunity to pertussis and are susceptible to pertussis. Pertussis is highly contagious and is associated with a high infant mortality rate. Prompt evaluation by the primary care provider for respiratory illness will not prevent pertussis. Erythromycin is used to treat pertussis. It will not prevent the disease.
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A female patient with a profound visual deficit is unable to read the largest E on the Snellen chart. How should the nurse proceed with assessment of the patient's visual acuity?
A) Document the fact that the patient does not have functional vision. B) Hold up a random number of fingers in front of the patient's eyes and ask her to count them. C) Give the patient a hand-held version of the Snellen chart and have her hold it at the furthest distance at which she can read it. D) Ask the patient to identify the contents of a picture in a book or magazine.
A patient taking an FGA medication develops severe parkinsonism and is treated with amanta-dine [Symmetrel]. The amantadine is withdrawn 2 months later, and the parkinsonism returns. The nurse will expect the provider to:
a. give anticholinergic medications. b. make a diagnosis of idiopathic parkinson-ism. c. resume the amantadine indefinitely. d. try a second-generation antipsychotic (SGA).
The primary factor that differentiates somatization disorders from conversion disorders is what?
A) Somatization disorders usually affect the cardiac system, whereas conversion disorders do not. B) Conversion disorders are always targeted at the respiratory system. C) Somatization disorders are conscious, whereas conversion disorders are unconscious. D) Somatization disorders affect multiple organ systems, whereas conversion disorders usually involve only one system.
At 3 months postpartum, what proportion of women report at least one heath problem?
a. 55–65% b. 65–75% c. 75–85% d. 85–95%