The nurse correctly understands that the administration of the meningococcal vaccine should occur at which ages?
1. 2, 4, and 6 months
2. 11 years
3. 15 and 18 months
4. Within 12 hours of birth
Correct Answer: 2
Rationale 1: The PCV vaccine is given at 2, 4, and 6 months.
Rationale 2: The meningococcal vaccine should be administered at age 11.
Rationale 3: Fifteen-month-olds receive the MMR vaccine.
Rationale 4: Infants receive the HBIG within 12 hours of birth.
Global Rationale: Routine immunization for meningococcal infection is recommended at age 11. Special populations that should receive vaccination include individuals traveling to regions where meningococcal infection is endemic or those living in crowded conditions, such as college residence halls. Because college freshman living in dormitories are at increased risk for infection, some colleges now require meningococcal vaccination for these students.
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The nurse is completing a self-assessment to determine cultural competence. The nurse would identify which of the following behaviors as part of being culturally competent?
1. Obtaining a ham sandwich for a Jewish client admitted to the hospital unit after trays have been delivered 2. Referring to the Asian client as an Oriental 3. Permitting a Bedouin to sleep on the floor 4. Advising a Catholic client that being taken to the chapel for noon Mass is impossible because lunch times have been assigned
Select the most effective action a nurse can take to protect a client who has been recently diagnosed with thrombocytopenia
a. Have the client use a wheelchair whenever the client must leave the room. b. Increase the client's fluid intake to 3 liters per day to prevent a urinary tract infec-tion. c. When giving intramuscular injections, use the smallest needle possible to administer the medication. d. Limit visits to immediate family only for 10 minutes per hour.
A nurse explains the technique of response cost to parents who are seeking to reduce the frequency of unwanted behaviors in their children. What is an example of this type of strategy?
a. Ignoring a temper tantrum b. Taking away the privilege to watch television until homework is finished c. Grounding a child for a month after a very poor report card is received d. Making a young child sit in a corner after fighting with a younger sibling
A palliative care team has taken over primary responsibility for the care of an older adult who has recently experienced a stroke. A visitor asks, "What is palliative care?" Which of the following is the best response by the nurse?
A) "Spiritual and psychosocial care that takes place near the end of life" B) "Nursing care and medical treatment that prioritizes the wishes of patients and families" C) "The prioritization of complementary and alternative measures over biomedical interventions" D) "The provision of holistic care to patients experiencing incurable health states"