The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a 6-month-old infant. Which nursing action is accurate to safely administer this vaccine to the infant?
1. Administering the vaccine by ID (intradermal) injection
2. Administering the vaccine by SQ (subcutaneous) injection
3. Administering the vaccine by IM (intramuscular) injection
4. Administering the vaccine via a nasal spray
4
Explanation:
1. DTaP is not administered by an ID injection.
2. DTaP is not administered by a SQ injection.
3. DTaP is administered by an IM injection.
4. DTaP is not administered via a nasal spray.
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The 12-year-old client reports that menarche occurred 5 months ago. She has had bleeding every day this month, and is very worried. The nurse should explain that the most common cause of this bleeding is which of the following?
1. Dysfunctional uterine bleeding (DUB) 2. Diabetes mellitus (DM) 3. Pregnancy 4. Von Willebrand's disease
The nurse attends an educational program that provides information about the Nursing Intervention Classifications (NIC) system. Which statements made by the nurse indicate that teaching has been effective?
1. "I can look up interventions according to the nursing diagnosis that I've selected." 2. "The interventions connected to a diagnosis are appropriate for any client with that diagnosis." 3. "If there is a NANDA diagnosis, I should be able to find some appropriate interventions." 4. "Care plans are best written when the interventions are broad and flexible." 5. "I find NIC interventions a really good place to start when I'm working on client interventions."
Retinopathy develops in patients with diabetes mellitus because:
a. Plaques of lipids develop in the retinal vessels. b. Pressure in the retinal vessels increase as a result of increased osmotic pressure. c. Ketones cause microaneurysms in the retinal vessels. d. Retinal ischemia and red blood cell aggregation occur.
Antiretroviral drugs like zidovudine (ZDV), when given to a pregnant HIV-infected mother, significantly reduce the risk of mother-to-infant HIV transmission
Indicate whether the statement is true or false