The nurse is teaching a group of mothers of infants about the benefits of immunization. The nurse will explain that the life-threatening disease epiglottitis can be prevented by immunization against:
1. Hepatitis B.
2. Polio.
3. Measles, mumps, and rubella (MMR).
4. Haemophilus influenzae type B (HIB).
4
Rationale 1: Hepatitis B, measles, mumps, rubella, and the polio virus are not causative agents for epiglottitis.
Rationale 2: Hepatitis B, measles, mumps, rubella, and the polio virus are not causative agents for epiglottitis.
Rationale 3: Hepatitis B, measles, mumps, rubella, and the polio virus are not causative agents for epiglottitis.
Rationale 4: The Haemophilus influenzae type B (HIB) immunization can assist in prevention of epiglottitis.
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The adult caregiver of an elderly client states, "When my mother takes ill, you can predict I'll be sick in about 6 weeks." This statement demonstrates:
1. The client has a communicable disease. 2. The caregiver has uncared for health problems. 3. The caregiver is more ill than the client. 4. The caregiver is experiencing emotional stress.
The nurse has admitted a child with a ventricular septal defect to the unit. Which of the following is an appropriate nursing diagnosis for this child?
1. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow 2. Fluid volume, deficient related to hyperthermia secondary to the congenital heart defect 3. Acute pain related to the effects of a congenital heart defect 4. Hypothermia related to decreased metabolic state
A nursing diagnosis of hopelessness would be considered for an individual who:
a. Was consistently overprotected by family members b. Was raised by parents who were strict disciplinarians c. Had inconsistent, unpredictable physical care as an infant d. As a teenager always felt unaccepted by his social peers
A patient is scheduled for a liver biopsy. What should the nurse include in this patient's preprocedure teaching?
A. Complete blood tests prior to the procedure. B. Restrict activity for 4-6 weeks after the procedure. C. Consume a low-fat diet 1-3 days prior to the procedure. D. Abstain from all food and fluids for at least 8 hours prior to the procedure.