The nurse urges the mother of a 6-month-old to get her child inoculated with Haemophilus influenzae type B. What does this immunization protect against?
a. Encephalitis
b. Influenza
c. Bacterial meningitis
d. Otitis media
ANS: C
H. influenzae type B and conjugated pneumococcal vaccines have decreased the incidence of bacterial meningitis.
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Prior to a clinical placement in an ambulatory ophthalmology clinic where cataract repairs and corneal transplants are performed, a nursing student is conducting a review of the anatomy and physiology of the eye
Which of the following descriptions is most accurate? A) The muscles controlling the eye are innervated by several different cranial nerves. B) The primary function of the conjunctiva is to focus incoming light. C) The anterior chamber of the eye is filled with air that is matched to atmospheric pressure. D) The pupil is a highly vascularized, pigmented collection of fibers.
The spouse of a patient with Alzheimer's disease asks a nurse for more information about the rivastigmine [Exelon] transdermal patch that is being used. Which statement by the spouse indi-cates a need for further explanation?
a. "Doses are lower but more steady with the transdermal patch." b. "Reduced side effects occur with the transdermal patch." c. "We only need to change the patch every 2 weeks." d. "We should remove the old patch before applying the new one."
The nurse is evaluating outcomes from evidence-based interventions provided to a patient with chronic obstructive lung disease. Which outcome indicates that a positive change occurred in this patient?
1. Patient set a date to quit smoking. 2. Patient uses emergency bronchodilator every 4 hours. 3. Patient states that antibiotics are to be taken until all symptoms subside. 4. Patient explains that adverse effects of prescribed medications are to be expected.
2. During a blood transfusion, the patient begins to have chills and back pain. What is the nurse's priority action?
a. Observe for other symptoms. b. Slow the infusion rate of the blood. c. Discontinue the infusion immediately, and notify the prescriber. d. Tell the patient that these symptoms are a normal reaction to the blood product.