The well-child clinic nurse is preparing to give which immunizations to a healthy 2-month-old? (Select all that apply.)
a. DTaP
b. Hib
c. IPV
d. MMR
e. PCV
ANS: A, B, C, E
All the options are the expected inoculations of a healthy 2-month-old with the exception of MMR. Mumps, measles, rubella are not expected until the child is 1 year old.
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A client is concerned about the risk of lymphedema after a mastectomy. Which response by the nurse is best?
a. "You do not need to worry about lymphedema since you did not have radiation therapy." b. "A risk factor for lymphedema is infection, so wear gloves when gardening outside." c. "Numbness, tingling, and swelling are common sensations after a mastectomy." d. "The risk for lymphedema is a real threat and can be very self-limiting."
The nurse is assessing the apical pulse of a 3-month-old infant and finds that the heart rate is 135 beats per minute. The nurse interprets this result as:
a. Normal for this age. b. Lower than expected. c. Higher than expected, probably as a result of crying. d. Higher than expected, reflecting persistent tachycardia.
Which of the following best describes a current trend related to health care services?
a. Nonprofit organizations are assuming responsibilities for service from for-profit organizations. b. Health care organizations are offering services low in cost and higher in reimbursement. c. Ways to minimize reimbursement using current procedural terminology (CPT) codes have been created. d. Postponing computerized medical record programs increases profitability.
During morning report the nurse is challenged to defend clinical reasoning used when providing client care. Which behaviors indicate that the nurse used intellectual courage when responding to this question? (Select all that apply.)
1. Considered alternatives 2. Used information learned to make a decision 3. Listened to the other nurse's ideas and thoughts 4. Defended thinking used to make the care decision 5. Recognized a pattern and connected it with knowledge