A client with a newborn infant is also the caregiver for her 75-year-old mother, who lives with them and who has diabetes
The client requests pneumonia vaccinations for her entire household. Which vaccine is most likely to be effective for the baby?
A)
Since the baby's immune system is mature at birth, regular vaccine is appropriate.
B)
There is no effective vaccine for newborn infants.
C)
The 23-valent vaccine will be effective.
D)
No vaccine is necessary for the baby if the nursing mother is immunized.
Ans:
B
Feedback:
S. pneumoniae capsular polysaccharides would be especially appropriate for the client and her diabetic, elderly mother but is not effective in the immune system of anyone younger than 2 years old. Fortunately, a newer, 7-valent vaccine was designed to protect infants as young as 7 months. However, because their immune system is immature, the antibody response to most flu shots is poor or inconsistent in children younger than 2 years of age.
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The manager has disciplined a nurse with a written warning. At the end of the session, the manager asks the nurse to sign the warning and the nurse refuses. What should the manager do?
1. Tell the nurse that signing the form in mandatory. 2. Indicate on the form that the nurse declined to sign. 3. Sign the nurse's name to the form and include the manager's initials. 4. Complete a second warning for the nurse's failure to follow procedure.
Which of the following best describes how care can be appropriately given in a community?
a. Provide individualized care to unique individuals as much as resources allow. b. Consider the community itself as the "client." c. Administer care according to the priorities of the local health department. d. Prioritize care for the sickest populations first.
Gender differences between men and women in pharmacokinetics include:
1. More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites 2. Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution 3. Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations 4. Slower organ blood flow rates so drugs tend to take longer to be excreted
The nurse assesses a 15-year-old client who shows some signs of possible drug addiction. The nurse reviews the client's health and family history, looking for key indicators for risk of substance dependence, such as: (Select all that apply.)
A) Obesity B) Age at first use of illicit substance C) Family history of alcoholism D) Presence of a learning disability E) Early onset of diabetes