The nurse must administer hepatitis B immunoglobulin 0.5 mL intramuscularly to a 3-day-old infant born to an HB Ag-positive mother. Which injection site should the nurse choose to administer this injection?
a. Ventrogluteal
b. Vastus lateralis
c. Deltoid
d. Dorsogluteal
ANS: B
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You are socializing with a group of nurses who you work with on a routine basis. Terri is getting very loud and tells you that she usually has six or eight beers most evenings
She is defensive about your reaction to the amount of alcohol she consumes. She says, "I have days where I can't remember what happened the night before, sure, but only once in a while." If you were Terri's friend, the best action you could suggest to her would be: A. "Maybe you should stop at four beers, Terri." B. "I won't tell your husband what you told me." C. "It sounds to me like your drinking is getting out of control. I can't continue to socialize with you if you continue to drink this much." D. "Terri, I will call AA for you when you are ready."
The parents of a 7–month-old child, being seen at the clinic for the administration of a hepatitis B vaccine, ask if their child be can also be given a vaccine to prevent the chickenpox during this visit. The best response by the nurse is:
1. "It will be less stressful to administer both shots during this visit." 2. "The additional injection will make your child run a fever." 3. "You really should wait and come back next month for this immunization." 4. "This immunization is not offered until after the age of 12 months."
Your client is receiving morphine for his metastatic prostate cancer. You know that the morphine is mediated by which receptor?
1. opioid 2. mu 3. kappa 4. delta
The nurse is caring for a client with Alzheimer's disease. The nurse observes that the client's pacing and mumbling to himself increase at mealtime and shift change. Which of the following interventions should the nurse implement first?
A) Administer an antianxiety drug such as lorazepam (Ativan) at these times. B) Explain the unit routine and the reasons for increased activity to the client. C) Keep unit activity to a minimum. D) Move the client to a quieter area during these times.