Pregnant women should receive the Tdap vaccine:
1. In the first trimester
2. Once every 10 years
3. In the third trimester of every pregnancy
4. Tdap is contraindicated in pregnancy
3
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A young adult client is in the clinic for evaluation of amenorrhea lasting 3 months. She takes birth control pills but is on no other medications. Which actions by the nurse are most appropri-ate? (Select all that apply.)
a. Instruct the client on collecting a urinalysis for a pregnancy test. b. Assess the client's urinary and bowel ha-bits. c. Perform a physical assessment on the client's abdomen. d. Weigh the client and calculate the body mass index. e. Reassure the client that amenorrhea can occur with oral contraception.
An older patient is overwhelmed at the number of lifestyle changes needed to manage newly diagnosed cardiovascular disease. What action by the nurse will reduce this barrier to teaching?
a. Tell the patient even tiny changes over time make a big difference. b. Tell the patient that smoking is the biggest risk factor and needs to stop. c. Help the patient choose a change and in-corporate it into daily life. d. Educate the patient on the consequences of not making changes.
Which stage of the inflammatory response involves capillary leak syndrome?
a. Stage I b. Stage II c. Stage III d. Stage IV
A nurse was assigned to care for a client who was speaking with his young daughter in an Asian language. Because the nurse spoke only English, which of the following actions should be taken by the nurse?
a. Ask the young daughter whether she knew English and could translate. b. Ask the young daughter whether the client's wife was available to translate. c. Call the nursing office to see whether any nurse in the hospital spoke the client's language. d. Check the hospital resource manual for the telephone number of a translator who spoke an Asian language.