The client elects to receive Gardasil. The client chooses to begin the drug series in January. The nurse plans the client's schedule of administration, recognizing that which would be the correct time and route for the client to receive the medication?
a. Subcutaneous injections given in January, February, and March
b. Intramuscular injections given in January, March, and June
c. Tablets given in January, March, and May
d. Tablets given in January, February, and March
ANS: B
Gardasil should be administered in three separate intramuscular injections in the upper arm over a 6-month period, with the first dose at an elected date, the second dose 2 months after the first dose, and the third dose 6 months after the first dose.
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A child has been cured of a retinoblastoma. When the parents ask how long monitoring for bone-related complications of radiation therapy should continue, which is the most appropriate response by the nurse?
A. "After 5 years, you can stop worrying about this." B. "Cancers of the bone can occur up to 15 years later." C. "Probably all complications will occur within 3 years." D. "Radiation complications do not occur in bones."
The legal aspects of documentation require which of the following?
a. factual and time-sequenced descriptive entries b. legible printing c. proof or evidence of any form of malpractice or negligence that occurs during a client's stay d. lack of abbreviations
The nurse is assessing a patient's ability to internally rotate the shoulders. Which direction would the nurse provide?
1. "Place your hands behind your lower back.". 2. "Raise your arms to shoulder level.". 3. "Place both your hands behind your neck with your elbows out to the side.". 4. "Raise your arms above your head with your palms facing each other.".
A psychiatric–mental health nurse is aware that spiritually based interventions must be carefully matched with individual clients. For which of the following clients would spiritual interventions be most appropriate?
A) A client who has a difficult relationship with her parents and who has indicated a willingness to seek change B) A client who believes God is speaking to him in an audible voice throughout the day C) A client with a diagnosis of schizophrenia who believes he is all-powerful D) A client with postpartum depression who believes her children are in danger of becoming possessed by demons