An 8-year-old child enters the clinic. He has recently emigrated from another country and has received no immunizations. His parent does not believe that he has had chickenpox
Which immunizations should he receive at this visit? (Select all that apply.)
a. Pertussis
b. Tetanus
c. MMR
d. PPD
e. Hep B (begin series)
f. IPV
g. Varicella
h. Hib
ANS: B, C, D, E, F, G
The child will not get pertussis or Hib because of advanced age. Some sources do not give MMR at the same time as PPDs because of the potential for false positives on the PPD.
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A community health nurse is preparing a presentation for a group of state health officials about water pollution in the United States. Which of the following would the nurse include? Select all that apply
A) Water pollution is the cause of millions of episodes of disease in the country each year. B) Water pollution is a new problem due to the proliferation of industries in the United States. C) Water pollution is a major problem that is occurring in other countries as well. D) Ground water sources are a potential site for contamination. E) Some cases of illness due to water pollution are severe enough to cause death.
A multipara client develops thrombophlebitis after delivery. Which of the following would alert the nurse to the need for immediate intervention?
A) Dyspnea, diaphoresis, hypotension, and chest pain B) Dyspnea, bradycardia, hypertension, and confusion C) Weakness, anorexia, change in level of consciousness, and coma D) Pallor, tachycardia, seizures, and jaundice
Which of the following would the nurse consider focal seizure disorders?
A) Simple partial and complex partial seizures B) Absence seizures C) Tonic-clonic seizures D) Status epilepticus
Unlike a nondepolarizing paralytic, a competitive depolarizing paralytic:
A) causes muscle fasciculations. B) does not induce full paralysis. C) causes profound sedation. D) lowers serum potassium.