A patient is scheduled to take the pneumonia vaccination. She has developed nasal congestion and started taking a topical intranasal steroid. The physician might tell the patient which of the following?

A. stop taking the intranasal steroid
B. decrease the use of the intranasal steroid
C. do not take the pneumonia vaccination
D. there is no effect from the two used together


C. do not take the pneumonia vaccination

Nursing

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A patient has been exposed to a nerve agent in a biochemical terrorist attack. This type of agent bonds with acetylcholinesterase, so that acetylcholine is not inactivated. What is the pathologic effect of this type of agent?

A) Hyperstimulation of the nerve endings B) Temporary deactivation of the nerve endings C) Binding of the nerve endings D) Destruction of the nerve endings

Nursing

A client has the following arterial blood results: pH 7.12, HCO3– 22 mEq/L, PCO2 65 mm Hg, PO2 56 mm Hg. The nurse correlates these values with which clinical situation?

a. Diabetic ketoacidosis in a person with emphysema b. Tracheal obstruction related to aspiration of a hot dog c. Anxiety-induced hyperventilation in an adolescent d. Diarrhea for 36 hours in an older, frail woman

Nursing

The nurse planning care for a patient realizes that which acute medical event requires self-management?

a. Prenatal care b. Depression c. Diabetes d. Femur fracture

Nursing

The nurse is assisting with the development of an educational program to reduce the incidence of infectious diseases in a community. What topics should the nurse suggest be included in this program? (Select all that apply.)

a. Use of cough etiquette b. Performance of hand hygiene c. Safe food handling techniques d. Use of safety equipment with sports e. Importance of receiving immunizations

Nursing