A parent of a hospitalized child on chemotherapy asks the nurse if a sibling of the hospitalized child should receive the varicella vaccination. The nurse should give which response?
a. The sibling can get a varicella vaccination.
b. The sibling should not get a varicella vaccination.
c. The sibling should wait until the child is finished with chemotherapy.
d. The sibling should get varicella-zoster immune globulin if exposed to chickenpox.
ANS: A
Siblings and other family members can receive the live measles, mumps, and rubella vaccine and the varicella vaccine without risk to the child who is immunosuppressed.
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A client with a gastrointestinal bleed secondary to alcohol abuse and a hemoglobin level of 5.8 g/dL has been ordered a transfusion of packed red blood cells
The client possesses type B antibodies but lacks type D antigens on his red cells. Transfusion of which of the following blood types would be least likely to produce a transfusion reaction? A) B- B) B+ C) A+ D) A-
During the holidays, the nurse is making a home health visit for a patient who previously lived with her sister for more than 20 years. Although it has been over than a year since her sister died, she tells the nurse,
"It's no worse now than any other time; I never feel any relief from this overwhelming sadness. I still can't sleep a full night through. I know the house is a mess; I feel too tired to do anything, even to take a bath. You know, though, sometimes at night, she comes to me and I can see her plain as can be." The nurse observed the patient's clothing is not clean and that her hair is not combed. The patient is apparently not eating adequately. What can the nurse conclude? The patient is probably 1) Grieving longer than usual because of the closeness of the relationship with her sister. 2) Experiencing a depressive disorder rather than simply grieving the loss of her sister. 3) Feeling guilt and worthlessness because her sister died and she is still alive. 4) Interpreting the holiday as a trigger event, which is causing her to hallucinate.
An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?
A) Bone fracture B) Loss of estrogen C) Negative calcium balance D) Dowager's hump
The nurse notes that a chronically ill child has not been seeing the health care provider for several months, although monthly checkups and blood work are needed to help maintain the illness
What should the nurse realize as a reason for the child missing appointments? A) The parents have been too busy to bring the child. B) The family does not have the money to pay for multiple visits. C) The child is afraid of having the blood drawn, so the parents do not bring him. D) The parents are having a difficult time grieving with the idea of the child's illness.