A 4-month-old infant comes to the clinic for a well-infant checkup. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and a
a. DTaP and IPV can be safely given.
b. DTaP and IPV are contraindicated because she has a cold.
c. IPV is contraindicated because her sister is immunocompromised.
d. DTaP and IPV are contraindicated because her sister is immunocompromised.
ANS: A
These immunizations can be given safely. Serious illness is a contraindication. A mild illness with or without fever is not a contraindication. These are not live vaccines, so they do not pose a risk to her sister.
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An obese patient comes to the clinic and requests a prescription for diet pills. The nurse should respond with which statement?
a. "Let's begin with a comprehensive diet, exercise, and behavior management program." b. "Drugs are the cornerstone of an effective weight-loss program for people who are obese rather than just overweight." c. "Drugs are indicated only for patients who have no health risks from their obesity." d. "Drugs may produce an excessively rapid weight loss that could be hazardous to your heart."
The duty to do good to others and to maintain a balance between benefits and harms is the definition of the ethical principle of __________
a. veracity b. justice c. nonmaleficence d. beneficence
Which assessment finding, by the nurse, is a priority concern when a client receives pseudoephedrine (Sudafed)?
1. Temperature of 100° F 2. Respiratory rate of 22 3. Heart rate 82 and irregular 4. Complaints of a dry mouth
The nurse assesses a group of older adults for various integumentary conditions. Which of the following descriptions correctly identifies a seborrheic keratosis?
A) Gray or brown and located on sun exposed areas of the skin. B) Irregular shaped, irregular colored lesion. C) Redness and edema around the base of a lesion. D) When located in the armpit, the lesion is dark and oily.