A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. The primary reason for this vaccine is:
A) it is an antiviral vaccine used to eradicate wound infection.
B) it is a vaccine given to booster antibodies towards the tetanus pathogen.
C) it induces humoral immunity in the client's blood.
D) It counteracts the effects of the inflammatory process.
Ans: B
Feedback:
Active immunity is produced when the immune system is stimulated, either naturally or artificially, to produce antibodies. Natural immunity occurs after an infection has run its course.
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Which situation would be included in reporting for Joint Commission mandatory national patient safety goals? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. The average wait time in the emergency department has increased by 5 minutes over last year's average. 2. A client is left waiting in the hallway because the transport person did not make contact with the client's nurse. 3. A nurse gives a medication by the wrong route. 4. A client developed sepsis after insertion of a urinary catheter. 5. Surgery is done on a client's right eye instead of the left eye.
Which of the following best describes why nurses are increasingly becoming case managers when social workers have historically been so successful in the role?
a. Because of the need for ongoing patient assessment. b. Because of a shortage of licensed social workers. c. Nurses seek such roles as being easier than direct clinical care. d. Social workers expect higher salaries than nurses in the same role.
Once evidence related to the use of prompted voiding in patients with cognitive impairment has been appraised and integrated with practice, it is important to:
a. Consider whether patients' families see this as necessary for the well-being of family members. b. Search large databases such as CINAHL to amass further evidence. c. Clarify the clinical practice question. d. Solicit input regarding integration with practice.
Prenatal genetic testing reveals that a fetus has Turner syndrome. Which information would the nurse include in a discussion with the parents?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Young boys with this syndrome often have long arms and legs with large hands and feet. 2. Malformation of the elbows is a common finding in Turner syndrome. 3. Young women with Turner syndrome are often sexually underdeveloped. 4. People with Turner syndrome are sterile. 5. Webbing of the neck is a common physical finding associated with Turner syndrome.