Which of the following issues motivated the increased doses of certain vaccines and reformulated vaccines at the start of the 21st century? Select all that apply
A) Increased virulence of the vaccine-preventable disease causative organisms
B) Pertussis immunity was found to wane with age so the vaccine was reformulated to cocoon infants by immunizing the adults around them to prevent exposure of infants.
C) Varicella vaccine given in two doses has been found to increase immunity.
D) Measles outbreaks were identified in populations where parents had refused MMR vaccination for their children and received personal belief exemptions.
Ans: B, C, D
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A patient has been admitted to the emergency department after ingesting an unknown substance. The nurse finds agitation, tachycardia, hypertension, and episodes of tonic-clonic muscle movements
Arterial blood gases reveal normal oxygenation and metabolic acidosis. What ingested substance does the nurse most suspect? A) Antihistamine cold medication B) Carbamate insecticide C) Lomotil D) Cocaine
The nurse is caring for a woman in the emergency room who is complaining of chest pain. She states that she was walking from her apartment to the grocery store when the pain became very severe. She reported that people were following her
She said she couldn't really see them but she could hear them talking about "grabbing me." While the woman is explaining the event, she alternates between wringing her hands and manipulating the items in her purse over and over. The nurse would obtain what further assessment data in this situation? 1. Spiritual affiliations 2. Dietary preferences and habits 3. Review of systems 4. Focused psychosocial interview
The nurse caring for a client who has sustained a head trauma closely monitors respirations because:
A) the client will be lethargic and forget to breathe. B) the trauma may cause the client to be disoriented. C) breathing is controlled by the respiratory center in the brain. D) the client will be unable to cough and clear secretions.
The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? "The four major metaparadigms are
a. "nursing, environment, health, and ill-ness.". b. "nursing, environment, person, and socie-ty.". c. "person, environment, health/illness, and nursing.". d. "person, society, wellness, and health/illness.".