A gardener sustained a deep laceration while working and requires sutures. The patient is asked about the date of her last tetanus shot, which is over 10 years ago. Based on this information, the patient will receive a tetanus immunization
The tetanus injection will allow for the release of what?
A) Antibodies
B) Antigens
C) Cytokines
D) Phagocytes
Ans: A
Feedback:
Immunizations activate the humoral immune response, culminating in antibody production. Antigens are the substances that induce the production of antibodies. Immunizations do not prompt cytokine or phagocyte production.
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A patient has an order to restrict fluids. What is one comfort measure nurses can implement for this patient to alleviate a common problem?
A) back rubs B) chewing gum C) hair care D) oral hygiene
Which change in blood pressure assessment findings during the second trimester indicates the highest risk for preeclampsia?
A) Initial BP 120/80, current BP 130/88 B) Initial BP 100/70, current BP 140/90 C) Initial BP 140/85, current BP 130/80 D) Initial BP 110/60, current BP 112/86
Which should the nurse recognize is a risk factor for gastroesophageal reflux disease (GERD)?
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