The nurse at the immunization clinic is providing vaccines to children. The parent of a child waiting to receive the vaccine tells the nurse that the child has had immune deficiencies from birth

The nurse understands that the vaccine that should not be administered to the child is the
a. DTaP.
b. Hib.
c. polio injection.
d. varicella virus vaccine.


ANS: D
The varicella vaccine should be avoided by individuals who are immunocompromised, which includes those infected with the human immunodeficiency virus (HIV) and those who have a congenital immunodeficiency.
The DTaP, Hib vaccine, and polio injection may be administered to immunocompromised individuals, because these are not live vaccines.

Nursing

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A Spanish-speaking couple comes in for genetic testing. They are planning to start a family and are concerned because the wife's sister has cystic fibrosis

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A patient is admitted to the emergency department following a motor vehicle accident. The patient is unconscious and has a broken jaw, a broken nose, and facial lacerations

The patient's breath sounds are diminished, and the health care provider suspects atelectasis. Frequent suctioning is required to clear the airway. Oxygen saturation levels range from 70% to 75%. The nurse recognizes that this patient most likely will have which type of ventilatory device ordered? a. CPAP b. BiPAP c. Nasal cannula d. Mechanical ventilation

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At the end of a 12-hour shift, the nurse gives a verbal report to the oncoming nurse. This face-to-face reporting, using the acronym "CUBAN," does which of the following?

a. Ensures that the nurse is able to finish the shift as quickly as possible b. Provides a guide for the nurse's report to the oncoming nurse c. Requires the nurses to engage in walking rounds for the report d. Provides a detailed cultural report for Latino patients

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Severe headache, blurred vision, and chest pain are side effects of which of the following?

A. prolactin B. alendronate (Fosamax) C. finestaride (Proscar) D. hormone replacement therapy

Nursing