The nurse is discharging a pediatric who recently developed acquired immunodeficiency syndrome (AIDS)
When discussing appropriate health promotion activities for this child, which immunization is not appropriate for this client to receive due to AIDS diagnosis?
A) Varicella vaccine
B) Haemophilus influenzae type B (HIB conjugate vaccine)
C) Hepatitis B vaccine (hep B)
D) Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP)
Answer: A
A child with an immune disorder such as HIV/AIDS should not be immunized with a live varicella vaccine, because of the risk of contracting the disease. DTaP, HIB, and hepatitis B vaccinations are not live vaccines, and should be given on schedule.
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The nurse enters the adolescent client's room after the unlicensed assistive personnel (UAP) has finished bathing the client and finds used tissues on the floor by the bed, the client's bedpan on the foot of the bed, and the bath basin drying on
top of the bedside table. What is the nurse's priority action? 1. Reprimand the UAP. 2. Instruct the client to clean her room. 3. Discard tissues and put the bedpan and basin away. 4. Call housekeeping to clean the room.
The school nurse suspects a first grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.)
a. Child reports tooth pain. b. Severe wheezing is auscultated on inspiration. c. Child reports, "I have had a cold for 2 weeks." d. Nurse observes periorbital swelling. e. Halitosis is present.
. A school nurse is caring for a child who is having an allergic response. What should be the initial action of the school nurse?
A) Assess for signs/symptoms of anaphylaxis B) Assess for erythema and urticaria C) Assess for cause of allergic reaction D) Assess vital signs
The nurse determines that an older client is experiencing an adverse effect from a prescribed medication because of:
1. Altered memory. 2. Altered organ responsiveness. 3. Decreased manual dexterity. 4. Decreased visual acuity.