The nurse, after reviewing a client's immunization history, realizes that which of the following pathogen toxoids would not be given to an individual to develop an immune response?
1. Attenuated polio
2. Diphtheria toxoid
3. Snake toxin
4. Tetanus toxoid
3
Snake toxin works too quickly for the adaptive immune system to be effective. Horses are immunized with the toxin and produce antibodies against the venom. This venom is stored until needed. The other toxoids would be provided to an individual to develop an immune response.
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When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the morning. Which therapeutic response is most appropriate?
a. "It will be okay. Your surgeon will talk to you in the morning." b. "Why can't you sleep? You have the best surgeon in the hospital." c. "Don't worry. The surgeon ordered a sleeping pill to help you sleep." d. "It must be difficult not to know what the surgeon will find. What can I do to help?"
A hospital receives notice of being sued for an action performed by a nurse. The nurse realizes that which doctrine is being implemented in this case?
1. Contractual relationship 2. Stare decisis 3. Respondeat superior 4. Res ipsa loquitur
Which high-density lipoprotein (HDL) level is considered cardioprotective?
a. Greater than 30 c. Greater than 50 b. Greater than 40 d. Greater than 60
A nurse is preparing a plan of care for a child with a primary immunodeficiency. Which nursing diagnosis is the priority?
A) Imbalanced nutrition, less than body requirements related to poor appetite B) Ineffective protection related to impaired humoral defenses C) Acute pain related to inflammatory processes D) Risk for delayed growth and development related to chronic illness