A pregnant woman reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine
As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could this patient receive? Select all that apply. a. Tetanus
b. Hepatitis A and B
c. Measles, mumps, rubella (MMR)
d. Influenza
e. Varicella
A, B, D
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Correct Inactivated vaccines such as those for tetanus, hepatitis A, hepatitis B, and
influenza are safe to administer for women who have a risk for contracting
or developing the disease.
Incorrect Immunizations with live virus vaccines such as MMR, varicella
(chickenpox), or smallpox are contraindicated during pregnancy because
of the possible teratogenic effects on the fetus.
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A pregnant patient reports feeling pain similar to menstrual cramps. What should the nurse explain about this patient's symptoms?
A) Exercise helps reduce the frequency of them. B) If rhythmical, they could indicate preterm labor. C) Lying down for a few hours will help them stop. D) They are false labor and do not need to be reported.
A patient who is a known chronic alcoholic is admitted to the emergency department. Upon assessment, the nurse notes nystagmus, diplopia, and ataxia. The nurse is correct to suspect
a. dry beriberi. b. hepatic encephalopathy. c. riboflavin deficiency. d. Wernicke-Korsakoff syndrome.
A client's average normal temperature is 98°F. Which of the following temperatures would be expected during the night in this healthy, young adult client who does not have a fever, inflammatory process, or underlying health problems?
a. 97.2°F b. 98.0°F c. 98.6°F d. 99.2°F
When using a restraint on a child,
A) obtain a physician's order first. B) release the restraints every 4 hours. C) tie the restraint to the bed rail. D) elevate the head of the bed every 30 minutes.