A patient asks how a vaccine works in the body to protect from future exposures to diseases against which he is vaccinated. The nurse's best response is:
A) The vaccine causes an antibody response in the body.
B) The vaccine responds to an infection in the body after it occurs.
C) The vaccine is similar to an antibiotic that is used to treat an infection.
D) The vaccine causes the patient to be infected.
Ans: A
Feedback: Vaccines are antigen preparations that produce an antibody response in a human to protect him from future exposure to diseases caused by the vaccinating organism.
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A child with cystic fibrosis is at risk for rectal prolapse because:
1. The body lacks enzymes to break down food. 2. Coughing attacks can weaken the muscle of the rectum. 3. Large bowel movements can cause the prolapse. 4. Of muscle atrophy throughout the body.
Outcome identification for the treatment plan of a patient with grandiose thinking associated with acute mania focuses on:
a. developing an optimistic outlook b. self-control of distorted thinking c. maintaining an interest in the environment d. stabilizing the sleep pattern
The community nurse is caring for a client at 32 weeks' gestation diagnosed with preeclampsia. Which statement indicates that additional information is needed about the health problem?
1. "My urine may become darker and smaller in amount each day." 2. "Lying on my left side as much as possible is good for the baby." 3. "I should call the doctor if I develop a headache or blurred vision." 4. "Pain in the top of my abdomen is a sign my condition is worsening."
According to Stoll's guidelines for spiritual assessment, the MOST appropriate question asked by the nurse would be:
a. "What is your source of strength?" b. "Do you pray?" c. "Do you attend religious services?" d. "Does your family have the same beliefs?"