The mother of a 15-month-old child is questioning the nurse about the need for the hepatitis B vaccination. Which comment provides the most compelling reason for the vaccine?
A) "The most common side effect is injection site soreness."
B) "This is a recombinant or genetically engineered vaccine."
C) "Immunizations are needed to protect the general population."
D) "This protects your child from infection that can cause liver disease."
Ans: D
Up to 90% of neonates infected with hepatitis B develop chronic carrier status and will be predisposed to cirrhosis and hepatic cancer. The mother is not questioning side effects, safety, or disease prevention in general. Therefore, it is best to speak to her concerns.
You might also like to view...
The nurse is palpating the abdomen of a woman who is 35 weeks' pregnant and notices that the fetal head is facing downward toward the pelvis. The nurse would document this as fetal:
a. Lie. b. Variety. c. Attitude. d. Presentation.
What patient factor would result in the nurse administering a reduced dosage of disopyramide (Norpace)?
A) Dehydration B) Hypertension C) Renal impairment D) Chronic diarrhea
Which mood disorder does she most likely have?
A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. He states that for the last 2 weeks she has been completely out of control. He says that she hasn't showered in days, stays awake most of the night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks very quickly, changing the subject often. After a longer than normal interview you find out she has had no recent illnesses or injuries. Her past medical history is unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a day (although she has been chain-smoking in the last 2 weeks), drinks four to six drinks a week, and smokes marijuana occasionally. On examination she is very loud and outspoken. Her physical examination is unremarkable. A) Major depressive episode B) Manic episode C) Dysthymic disorder
Which immune responses can result in harm to the body? (Select all that apply)
a. Activation of the complement system b. Autoimmune response c. IgE binding to mast cells and basophils d. Opsonization e. Recognition of MHC molecules as nonself