Which one of the following vaccines would not be used for routine pediatric immunization?
a. Diphtheria-pertussis-tetanus (DPT)
b. Bacille Calmette-Guerin (BCG)
c. Measles-mumps-rubella (MMR)
d. Haemophilus influenzae type B (Hib)
ANS: B
BCG vaccine is only given to patients at high risk; the vaccine may be considered for uninfected children who are at unavoidable risk of exposure and for whom other methods of prevention and control are not feasible.
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The nurse is working with a patient from an unfamiliar culture. After assessing the patient and the patient's cultural beliefs related to health care, what action by the nurse is best?
a. Create a nursing plan of care for the patient. b. Recheck cultural beliefs with the patient. c. Use a standard plan of care for consistency. d. Have an interpreter validate the information.
To plan and budget for preventive services, a nurse in charge of a community mental health center has reviewed the records to discern how many families received services in the current year
To estimate the need for the coming year, the nurse should: a. increase the allocation, because most eligible families are underserved. b. decrease the allocation, because most eligible families are overserved. c. interview the families currently being supported to determine valid needs. d. ask for a consultant to ascertain community interest in preventive services.
When caring for the child with Reye's syndrome, the priority nursing intervention is to:
a. Monitor intake and output. c. Observe for petechiae. b. Prevent skin breakdown. d. Do range-of-motion (ROM) exercises.
A patient is using patient-controlled analgesia to control postoperative pain. The nurse can evaluate the effectiveness of the medication when the patient's:
A. vital signs have returned to normal baseline. B. family members indicate the pain has subsided. C. baseline pain compares with ongoing assessments. D. body language is incongruent with the report of pain relief.