Which of the following immunizations should not be given to a 4-month-old sibling of a client with leukemia?
A. Diphtheria and tetanus and pertussis (DPT) vaccine.
B. Hepatitis B vaccine
C. Haemophilus influenzae type b vaccines (Hib)
D. Oral poliovirus vaccine (OPV)
Answer: D
Explanation: OPV is a live attenuated virus excreted in the stool. The excreted virus can be communicated to the immunosuppressed child, resulting in an overwhelming infection. Inactivated polio vaccine would be indicated because it isn't a live virus and wouldn't pose the threat of infection. DTP, Hib, and hepatitis B vaccines can be given accordingly to the recommended schedule.
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A nurse is caring for an adult patient requiring mechanical ventilation. While caring for this patient, the nurse should:
A) Keep the patient in a low-Fowler's position. B) Perform tracheostomy care at least every 12 hours. C) Keep the patient on bed rest continually. D) Monitor cuff pressure every 8 hours.
Teaching the patient/caregiver about her or his medications is an important step in reducing the risk of medication errors. What is an important teaching point about medications? (Select all that apply.)
A) Speak up and ask questions. B) Store medications in a warm humid place. C) Adjust your medication according to how you feel. D) Keep a list of your prescribed medications. E) Take all medications together in the morning.
A nurse is caring for a client who is being evaluated for a lump found on the lateral aspect of the right breast. The client is anxious and asks the nurse if the next step is to have a mastectomy. Which is the nurse's best response?
A) "Yes, breast lumps are abnormal and will need to be removed." B) "The doctor will need a biopsy first to see if the lump is cancerous." C) "The doctor will answer your questions when he or she arrives." D) "Many times, an ultrasound is done to distinguish between a tumor and cyst."
A pregnant woman has three living children, one single and one twin birth, one preterm birth, and no abortions. According to GTPALM, the nurse would record her pregnancy history as __________
Fill in the blank with the appropriate word.