What is the best response to a parent of a 2-month-old infant who asks when the infant should receive the measles vaccine?
a. "Your baby can get the measles vaccine now.".
b. "The first dose is given any time after the first birthday.".
c. "She should be vaccinated between 4 and 6 years of age.".
d. "This vaccine is administered when the child is 11 years old.".
B
The first measles, mumps, rubella (MMR) vaccine is recommended routinely at 1 year of age. Some immunizations are initiated at 2 months of age, but not the measles vaccine. The second dose of MMR is recommended at 4 to 6 years of age. Children should receive their second MMR dose no later than 11 to 12 years of age.
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The nurse is caring for a client who is being mechanically ventilated. Arterial blood gas analysis reveals a pH of 7.20 and a PaCO2 of 49 mmHg. Which change in ventilator settings should the nurse anticipate?
A) Increase in humidification of inspired air B) Decrease of FiO2 from 30% to 25% C) Increased respiratory rate to 30 breaths per minute D) Decreased tidal volume of each breath
Which of the following would the nurse identify as a least likely cause of renal disease?
1. Trauma 2. Excessive fluid intake 3. Infection 4. Medications
The patient tells the nurse, "The doctor is going to start me on Botox for the muscle spasms in my neck. I've always wanted to try that. It will make me look younger."
What information should the nurse provide to this patient regarding onabotulinumtoxinA (Botox)? 1. "Once you start on the medication, it may take a week or so before you notice a change in your skin." 2. "Be certain you take the medication with a full glass of water because it can be hard on your kidneys." 3. "There are many different uses for that drug, depending on how it is administered." 4. "You may have to have additional treatments with the medication in a few months." 5. "You should be aware that side effects of the medication can occur hours or weeks after your treatment."
A patient is diagnosed with chronic pyelonephritis. The nurse recognizes that this patient is prone to developing which health problem?
1. chronic kidney disease 2. cystitis 3. acute renal failure 4. renal calculi