A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the 4-month-old was exposed to a brother who has the flu.In this case the nurse will

1. withhold the vaccinations.
2. give the vaccinations as scheduled.
3. withhold the DTaP vaccination butgive the others as scheduled.
4. give the infant the flu vaccination butwithhold the others.


Answer:2
Rationale:Recent exposure to an infectious disease is not a reason to defer a vaccine. There is no reason to withhold any of the vaccinations due at this time. The flu vaccination would not routinely be given to a 4-month-old.

Nursing

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The nurse's efforts to assist a suicidal client to examine alternatives to suicide are best supported by

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An older adult patient comes to the doctor's office with complaints of malaise, nervousness, and difficulty walking. Her blood work reveals a deficiency in pyridoxine. The nurse would know that the patient has a deficiency in which vitamin?

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A parent shares with the nurse that his child who is undergoing chemotherapy vomited on the way to the hospital and in the entrance to the outpatient clinic. The nurse will do which of the following things?

a. Cancel the chemotherapy for the day and reschedule it for another day. b. Use interventions such as antiemetics ordered by the physician, relaxation, biofeedback, music, and distraction. c. Talk to the physician about ordering a lower dose of chemotherapy or a less-frequent-dosage schedule. d. Isolate the child for the next 48 hours to see what is causing the nausea and vomiting.

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The nurse is caring for a client who has just been diagnosed with diabetes mellitus. The client tells the nurse that she went to the doctor with symptoms of a urinary tract infection and ended up being admitted with diabetes mellitus. She then tells the nurse that her father had diabetes and he ended up dying with kidney failure. The client says, "It looks like that's what is going to happen to me. My kidneys are already messed up." Which is the nurse's BEST response to this client's statement?

A. "It does appear that your disease is progressing quite quickly. Do you have anyone in your family who would donate a kidney for you?" B. "I wouldn't worry about that right now. Your first job is to get used to having diabetes." C. "Have you had any other symptoms of kidney failure such as edema or high blood pressure?" D. "Your current infection was caused by the diabetes, but watching your blood sugar in the future will help prevent complications."

Nursing