A rubella titer is performed on a client who has just been told that she is pregnant. The results of the titer indicate that the client is not immune to rubella. Which of the following would the nurse anticipate to be prescribed for this client?
1. Immunization with rubella
2. Retesting rubella titer during pregnancy
3. Counseling the mother regarding therapeutic abortion
4. Antibiotics, to be taken throughout the pregnancy
2
Rationale: A rubella titer is performed to determine immunity to rubella. If the client's titer is less than 1:8, the mother is not immune. A retest during pregnancy is prescribed, and the mother is immunized postpartum if she is not immune. Antibiotics are not prescribed. Counseling the client regarding therapeutic abortion is an inaccurate option.
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The nurse is demonstrating cultural sensitivity in performing perineal care when he/she does the following: (Select all that apply.)
a. The male nurse delegates perineal care of a female patient to the female UAP. b. The male nurse asks a female patient if she would prefer a female to perform care. c. The nurse approaches the care in a sensitive, professional manner. d. The nurse assesses cultural preferences of the patient prior to care.
You suspect that a patient has developed a prostatic abscess when palpation of his prostate reveals a gland that is
a. firm and hard. c. soft and enlarged. b. firm and tender. d. nodular.
The nurse is using the community-as-partner model to complete a community health assessment. Which model would best be used for the community health assessment?
A) Disease oriented B) Medical C) Organ focused D) Systems
The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?
A. "What can we do to accommodate your needs during your stay here?" B. "You must eat a high protein diet during times of illness." C. "Fasting may be harmful to your body during your illness." D. "I will let your healthcare provider know that you need to be discharged."