Which immunization should the nurse plan to administer to a preschooler during a health maintenance visit?
A) DTaP
B) Influenza
C) Hepatitis B
D) Tetanus booster
B
Feedback:
Influenza vaccination would be administered annually. The diphtheria, pertussis, and tetanus (DTaP) vaccination should be provided before the child starts school. Hepatitis B and tetanus booster are not identified as vaccinations appropriate for this age group.
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A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. The patient awakens during the night confused and disoriented. This may be in part because of
a. impaired sensation of peripheral receptors. b. increased nerve impulse conduction resulting in increased anxiety. c. deficiency in the temporofrontal function of the brain. d. inevitable dementia.
An older diabetic client feels shaky and checks his blood glucose level with his blood glucose monitor. The blood sugar is 44. The client knows that he should eat 10 to 15 grams of carbohydrates immediately
Which is the best food choice for this client? A) a half cup of diet soda pop B) half of an apple with the peel C) a half cup of orange juice D) three to five pieces of sugar-free candy
Which client assessment indicates the most toxic effect of a medication?
1. Nausea and vomiting 2. Respiratory depression 3. Erythema and skin rash 4. Bloating and constipation
A patient who has pulmonary arterial hypertension (PAH) is receiving epoprostenol (Flolan) at a rate of 210 ng per minute using a portable pump
The patient weighs 70 kg. The patient calls the clinic to report headache, nausea, and vomiting. The nurse will counsel the patient to: a. decrease the infusion to 100 ng per minute. b. discuss these side effects with the provider. c. prepare for a hospital admission. d. stop the infusion and contact the provider.