The nurse is preparing to give a patient on hemodialysis his first dose of the hepatitis B vaccine. When will the nurse administer the second and third doses of this vaccine?
A) 1 and 2 months after the first dose
B) 2 months and 4 months after the first dose
C) 1 and 6 months after the first dose
D) 6 months and one year after the first dose
Ans: C
Feedback: The hepatitis B vaccine is administered intramuscularly in three doses; the second and third doses are given 1 and 6 months after the first dose. The third dose is very important in producing prolonged immunity.
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A survivor of rape presents in an emergency department crying, pacing, and cursing her attacker. A nurse should recognize these client actions as which behavioral defense?
1. Controlled response pattern 2. Compounded rape reaction 3. Expressed response pattern 4. Silent rape reaction
A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse?
A) "A TURP is a viable option. Let's talk to the surgeon." B) "Stage II means the cancer has already spread from the prostate gland." C) "A TURP is a removal of only a portion of the prostate gland." D) "You have the right to choose which ever surgery you feel is best for you."
The client is prescribed a potassium supplement and spironolactone (Aldactone). Based on this combination, what outcome does the nurse expect?
1. The two medications will be ineffective if taken together. 2. Spironolactone (Aldactone) will lower potassium levels, so a supplement is necessary. 3. These two medications will decrease potassium levels. 4. The client is at risk for hyperkalemia when taking both the supplement and spironolactone (Aldactone).
The nurse is documenting the health history of a client diagnosed with benign prostatic hyperplasia (BPH). In which of the following areas would the nurse take a careful history?
1. Bowel patterns 2. Eating patterns 3. Sleeping patterns 4. Urinary patterns