A mother tells the nurse, "I am so concerned about my child. He may not have adequate immunity to chicken pox." What is the best response by the nurse?
1. "You don't have to worry as long as your child has received all of his vaccinations."
2. "We can give your child another booster if you would like."
3. "There really is no way to know if your child will develop chicken pox."
4. "We can draw a titer to determine if there is adequate immunity."
Correct Answer: 4
Rationale 1: Telling the mother not to worry is non-therapeutic; she is worried.
Rationale 2: Giving another booster may be unnecessary.
Rationale 3: Drawing a titer will help determine if the child will develop chicken pox.
Rationale 4: Drawing a titer is a valid way to determine the immune level to chicken pox.
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The physician prescribes glyburide (Micronase, DiaBeta, Glynase) for a patient, age 57, when diet and exercise have not been able to control type 2 diabetes. What should the nurse include in the teaching plan about this medication?
a. It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell. b. It does not cause the hypoglycemic reactions that may occur with insulin use. c. It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. d. It lowers blood sugar by inhibiting glucagon release from the liver, preventing gluconeogenesis.
Family members are upset when their mother, who is being treated for diverticulitis, begins to yell at the nurse and refuses to eat. They apologize and say, "We don't understand her behavior. She is always such a sweet person."
The nurse should base a response on the knowledge that: 1. physical health can be altered by the client's emotional state of health. 2. the stress of illness can alter the client's normal emotional reactions. 3. physical illness will often cause psychotic symptoms. 4. the client most likely is expressing emotions that have been suppressed for years.
The client has been admitted to the Coronary Care Unit with a myocardial infarction. Which of the following statements by the client indicate that adequate learning has occurred?
1. "I'm just sick to my stomach because I ate something that didn't agree with me.". 2. "I think I must have given myself a little too much insulin this morning.". 3. "I've been breathing fast and my heart's been racing because my heart's not working right.". 4. "Just give me something for the nausea and I can go home.".
A nonpregnant client reports a fishy-smelling, thin, white, watery vaginal discharge. She is diagnosed with bacterial vaginosis (BV). The nurse would be expecting to administer:
1. Penicillin G (Bicillin) 2 million units IM one time. 2. Zithromax (Azithromycin) 1 mg p.o. b.i.d. for 2 weeks. 3. Doxycycline (Vibramycin) 100 mg p.o. b.i.d. for a week. 4. Metronidazole (Flagyl) 500 mg p.o. b.i.d. for a week.