A client is receiving treatment with adrenocorticotropic hormone. The nurse would instruct the client to avoid receiving which vaccine? Select all that apply

A) Zostavax (shingles)
B) Meruvax (rubella)
C) Td (tetanus and diphtheria)
D) Fluzone (influenza)
E) Attenuvax (measles)


Ans: A, B, E
Feedback:
Clients taking ACTH should avoid any vaccination with live virus including Zostavax, Meruvax, and Attenuvax.

Nursing

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The nurse notices that a new mother who is beginning postpartum day 2 handles the newborn tentatively and does not kiss the child when holding him. What should the nurse suspect as the probable reason for this behavior?

A) Disappointment with the child's sex B) Difficulty accepting the role changes C) Reacting normally to accepting a new child D) Cultural customs do not include kissing children

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The inheritance of which is X-linked recessive?

a. Hemophilia A b. Marfan syndrome c. Neurofibromatosis d. Fragile X syndrome

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The primary purpose of the DSM-IV-TR is to:

A) Provide a commonly understood diagnostic category for clinical practice. B) Describe treatment modalities for psychiatric disorders and mental illnesses. C) Identify various etiologies for mental disorders based on family histories. D) Provide optimal outcomes for treatment for individuals with mental illnesses.

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A patient has been taking warfarin (Coumadin) for atrial fibrillation. The provider has ordered dabigatran etexilate (Pradaxa) to replace the warfarin. The nurse teaches the patient about the change in drug regimen

Which statement by the patient indicates understanding of the teaching? a. "I may need to adjust the dose of dabigatran after weaning off the warfarin." b. "I should continue to take the warfarin after beginning the dabigatran until my INR is greater than 3." c. "I should stop taking the warfarin 3 days before starting the dabigatran." d. "I will stop taking the warfarin and will start taking the dabigatran when my INR is less than 2."

Nursing