If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?
a. No specific instructions
b. Drinking plenty of fluids to prevent fever
c. Recommendation to stop breastfeeding for 24 hours after the injection
d. Explanation of the risks of becoming pregnant within 28 days following injection
ANS: D
Potential risks to the fetus can occur if pregnancy results within 3 months after rubella vaccine administration. The mother does need to understand potential side effects and that pregnancy is discouraged for 3 months. The mother should be afebrile before the vaccine. Small amounts of the vaccine do cross the breast milk, but it is believed that there is no need to discontinue breastfeeding.
You might also like to view...
A nursing instructor is teaching about the various categories of paraphilic disorders. Which categories are correctly matched with expected behaviors? (Select all that apply.)
1. Exhibitionistic disorder: Mary models lingerie for a company that specializes in home parties. 2. Voyeuristic disorder: John is arrested for peering in a neighbor's bathroom window. 3. Frotteuristic disorder: Peter enjoys subway rush-hour female contact that results in arousal. 4. Pedophilic disorder: George can experience an orgasm by holding and feeling shoes. 5. Fetishistic disorder: Henry masturbates into his wife's silk panties.
The goal of care in support of family coping is to:
1. Decrease the stress linked with illness experiences. 2. Provide the family with forms of support that will enhance individual healing and promote the construction of family health. 3. Make certain that the family's perception of the illness event is as accurate as possible. 4. All of the above.
The plan of care to reduce asthma risks in a patient with poorly controlled asthma would be to:
A) preventing symptoms. B) requiring a short-acting bronchodilator not more than twice a week. C) being satisfied with care received. D) preventing emergency room visits.
The nurse reviews the medication orders for an older patient with arthritis in both hips who is complaining of level 3 (0 to 10 scale) hip pain while ambulating. Which medication should the nurse use as initial therapy?
a. Naproxen (Aleve) 200 mg orally b. Oxycodone (Roxicodone) 5 mg orally c. Acetaminophen (Tylenol) 650 mg orally d. Aspirin (acetylsalicylic acid, ASA) 650 mg orally