Mrs. H., through her translator, asks you what could have caused her baby to be sick, given that he had
an immunization when he was born. she asks whether he should get "more shots" so this won't happen
again.
You reinforce to Mrs. H. that infants have immature immune systems, and they are vulnerable to
infections until they have been fully immunized. Mrs. H. asks when J.H. will get more shots and what will
they be?
According to the CDC immunization schedule, which of the following immunizations will
J.H. receive at 2 months? You can refer to the current immunization schedules posted at
www.cdc.gov/vaccines/schedules/index.html
a. Hib
b. MMR
c. OPV
d. IPV
e. Rotavirus
f. DTaP
g. Varicella
h. Hep B
i. Pneumococcal
a, d, e, f, h, i
It should be verified whether J.H. received his hepatitis B vaccination 1 at birth. According to the
current immunization schedule, J.H. will receive these recommended vaccinations at 2 months. If he
has not yet received his hepatitis B vaccination, this could be administered before discharge, and he
would receive vaccination 2 on schedule at 2 months. Refer to the CDC website for details.
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Beverly, a 6-month-old infant, has depressed fontanels. This is caused by
A) increased intracranial pressure. B) hypertension. C) dehydration. D) meningeal irritability.
What discharge information should the nurse give to the parents of a male adolescent who has been diagnosed with the Epstein-Barr virus?
a. It is particularly important to protect the adolescent's head during physical activities. b. The teen will feel like himself and be back to his usual routines in a week. c. The treatment of the Epstein-Barr virus is prolonged bed rest, usually lasting several months. d. Fatigue may persist, and the adolescent may need to increase school activities gradually.
The nurse is caring for a client who had right total knee replacement surgery 3 days ago. During the assessment, the nurse notes that the client's right lower leg is twice the size of the left. What is the nurse's priority intervention?
a. Elevate the client's right leg. b. Apply antiembolism stockings. c. Assess the client's respiratory status. d. Check the client's pedal pulses.
Patients who seem shy, who seem to have few friends, and who may be described by others as "loners," may have which of the following personality disorders?
A) Dependent B) Narcissistic C) Schizoid D) Paranoid