The well-child clinic nurse will prepare to give a healthy 2-month-old inoculations for: (Select all that apply.)
a. DTaP
b. HIB
c. IPV
d. MMR
e. PCV
A, B, C, E
MMR is not given a child until 12 to 15 months of age.
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Which of the following nursing actions is appropriate in the care of a client with an implanted vascular access device?
A) Cleanse around the site of insertion with an antibacterial solution B) Clean the external portion of the catheter after infusion is complete C) Maintain patency by routine flushing with a heparinized solution D) Observe the site only; only the physician will assess the site
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cell. When notifying the healthcare provider what information should the nurse provide first using the SBAR communication process?
a. explain specific reason for urgent notification b. preface the report by stating the clients name and admitting diagnosis c. communicate the pre-transfusion temperatures d. optain prn prescription for acetaminophen for fever 101f
Four patients arrive at the emergency department at the same time. Which patient will the nurse see first?
a. An infant with temperature of 102.2° F and diarrhea for 3 days b. A teenager with a sprained ankle and excessive edema c. A middle-aged adult with abdominal pain who is moaning and holding her stomach d. An older adult with nausea and vomiting for 3 days with blood pressure 112/60
A patient is taking rivastigmine for Alzheimer disease. The nurse will evaluate the patient regularly for
A) weight gain. B) weight loss. C) increased blood pressure. D) decreased blood pressure.