The nurse is administering a hepatitis B vaccine to a child. What is the classification of this type of vaccine?
A) Killed vaccines
B) Toxoid vaccines
C) Conjugate vaccines
D) Recombinant vaccines
Ans: D
Recombinant vaccines use genetically engineered organisms. The hepatitis B vaccine is produced by splicing a gene portion of the virus into a gene of a yeast cell. The yeast cell is then able to produce hepatitis B surface antigen to use for vaccine production. Killed vaccines contain whole dead organisms; they are incapable of reproducing but are capable of producing an immune response. Toxoid vaccines contain protein products produced by bacteria called toxins. The toxin is heat-treated to weaken its effect, but it retains its ability to produce an immune response. Conjugate vaccines are the result of chemically linking the bacterial cell wall polysaccharide (sugar-based) portions with proteins.
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Which of the following would characterize the public health stage of community health nursing?
A) Voluntary health agencies emphasizing disease prevention B) Family is considered the primary unit of care C) Service is provided to the sick poor population D) Primary health care as the key to health for all
The nurse completes a teaching session on wound care for a client who will require dressing changes after discharge. The nurse evaluates the effectiveness of a teaching session for wound care with the family and determines that more education is required
Which statement by the nurse is appropriate in this situation? A) "Let me clarify again some of the steps that are required during wound care." B) "You did not pay attention, did you?" C) "Here, let me do it for you." D) "I do not think you understood me correctly the first time."
What should never be used as the sole criterion for assessing the quality of ethical problem solving?
A) Outcomes B) Quality C) Multiple alternatives D) Data gathering
A daughter brings her mother, who has Alzheimer's disease, to the clinic. The client has been taking a cholinesterase inhibitor medication for 1 month. When assessing the client, the nurse would be alert for the possibility of which side effect?
A) Gastrointestinal distress B) Mild headache C) Muscle tics D) Blurred vision