A patient with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which action should the nurse anticipate will be needed for the infant?
a. Intravenous antibiotics for 12 hours
b. Antiviral eye medication less than 2 hours after birth
c. There is no treatment that is safe and effective for infants.
d. HBV-immune globulin less than 12 hours after birth and then HBV vaccine series
ANS: D
It is recommended that all babies of HBV-positive mothers receive HBV immune globulin less than 12 hours after birth and then be immunized with HBV vaccine 1 week, 1 month, and 6 months after birth. A. Antibiotics are not effective against viruses. B. Eye medication may be necessary for gonorrhea or chlamydia. C. The infant needs to receive the HBV vaccination.
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A nurse is caring for a patient who has been scheduled for endoscopic retrograde cholangiopancreatography (ERCP) the following day. When providing anticipatory guidance for this patient, the nurse should describe what aspect of this diagnostic procedure?
A) The need to protect the incision postprocedure B) The use of moderate sedation C) The need to infuse 50% dextrose during the procedure D) The use of general anesthesia
The nurse is monitoring the collection of a 24-hour urine specimen. What action by the nurse will yield the most accurate test results?
a. Keep the patient on the unit during the test. b. Keep the urine in a collection bottle in a container of ice. c. Save all urine from the time the test be-gins. d. Leave the collection bottle in the patient's bathroom.
One way to directly block the secretion of acid and pepsin in the stomach is to ________.
A. administer an anticholinergic B. administer an H1-blocker C. administer a proton pump inhibitor D. administer an H2-blocker
A client has returned from combat, and is re-experiencing combat in dreams and feels helpless and anxious. What disorder does the nurse suspect this client is experiencing?
1. Generalized anxiety disorder 2. Obsessive-compulsive disorder 3. Post-traumatic stress disorder 4. Panic disorder