A child who has not had a tetanus immunization steps on a rusty nail. The child needs immediate protection from tetanus. Which of the following should be given to the child at this time?
1. Toxoid
2. Antigen
3. Killed virus
4. Passive immunity
4
Rationale 1: Toxoids are chemicals normally associated with a disease that stimulate the production of immunity.
Rationale 2: An antigen is any substance that causes the body to produce an antibody. In this situation, the goal is to provide the child with passive protection.
Rationale 3: The goal is to provide the child with immediate protection. Immunizations would lead to the development of immunity but would not provide immediate immunity.
Rationale 4: A child who has never had a tetanus immunization needs immediate protection (passive immunity) from tetanus. Passive immunity is made up of antibodies against the organism and provides immediate protection.
Global Rationale:
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A client informs the nurse that he has quit smoking because his father died from lung cancer 3 months ago. Based on his motivation, smoking cessation should be recognized as an example of which of the following?
1) Healthy living 2) Health promotion 3) Wellness behaviors 4) Health protection
A client is admitted with end-stage cirrhosis and severe vomiting. Which problem should the nurse monitor the client most carefully for?
a. Intrahepatic bile stasis b. Bleeding esophageal varices c. Decreased excretion of bilirubin d. Accumulation of ascites in the abdomen
A patient in the icteric phase of hepatitis asks the nurse, "Why are my stools no longer brown?" How should the nurse respond?
1. "Your liver isn't making any of the substance that makes stools brown.". 2. "The bilirubin that causes the coloration is going into your blood and turning your skin yellow.". 3. "It is being released into your bloodstream and turning your blood darker red.". 4. "The answer is not known. More research is needed regarding this question.".
Projective methods usually have a lot of face validity
A) True B) False