Stella, a 16–year-old girl, has come to the clinic to receive the HPV vaccine. Prior to the administration of the vaccine, the nurse must assess for:
1. Allergies to latex.
2. Allergies to eggs.
3. The last sexual encounter.
4. Pregnancy.
4
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1. Latex is not a concern with this vaccination.
2. An allergy to eggs would not be a concern.
3. The last sexual encounter will not influence administration of the vaccine.
4. A woman who is pregnant should not receive the vaccine.
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The nurse recommends to the family of a child with severe cerebral palsy that they enroll their child in hippotherapy. The nurse would explain that hippotherapy includes:
1. Water exercises to increase muscular strength. 2. Use of braces and walkers to support walking. 3. Dietary therapy to maintain a normal weight. 4. Horseback riding, or hippotherapy, improves posture and balance and allows the child to participate in a physical activity.
The nurse hears wheezing when auscultating a 4-year-old. Which of the following conditions would most likely be ruled out because of the assessment findings?
A) Bronchiolitis B) Asthma C) Influenza D) Cystic fibrosis
Which safety measure should the nurse use for a client who has adrenocortical insufficiency?
A. Pad the siderails of the client's bed. B. Assist the client to change positions slowly. C. Use a lift sheet to change the client's position. D. Keep suctioning equipment at the client's bedside.
Overly restricting the fat intake of infants may lead to failure to thrive. Infants depend on dietary fat and cholesterol for formation of
a. energy stores and bones. b. brain and bones. c. brain and nerve tissue. d. energy stores and nerve tissue.