A nurse is teaching a young pregnant woman about vaccines. Which statement is true about vaccines for pregnant women?
a. The varicella vaccine is contraindicated for pregnant women.
b. The rubella vaccine is allowed for pregnant women.
c. The pneumococcal vaccine is contraindicated only for women with asthma.
d. The influenza vaccine is contraindicated for pregnant women.
ANS: A
The varicella and rubella vaccines are contraindicated. The influenza vaccine is allowed for clients who need it (with asthma). The pneumococcal vaccine should be given to women with asthma or other chronic illness.
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A client is receiving amphotericin B IV. The nurse identifies a nursing diagnosis of Impaired Comfort related to medication administration. The nurse determines that the plan of care was effective when which outcome is achieved?
A) Client remains free from rigors. B) Client exhibits a blood pressure within acceptable parameters. C) Client maintains a patent IV infusion site. D) Client maintains a urine output of at least 30 mL/hour. E) Client demonstrates procedure for cleaning involved area.
The nurse is caring for a patient recovering from prostate surgery. Which actions should the nurse take if the patient's urine in the urinary irrigation drainage bag is very dark red?
Select all that apply. 1. Check for catheter occlusion. 2. Increase the flow rate of irrigant solution. 3. Check vital signs. 4. Ask the patient to drink more oral fluids. 5. Assess the patient for hyponatremia.
The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that
a. a nursing diagnosis identifies the patient's problems. b. it permits the practical nurse to go beyond the scope of practice. c. this step makes the practical nurse equal to the medical doctor. d. knowledge of the nursing diagnosis ensures a cure for the patient.
A college student goes to the Student Health Center with an extremely swollen neck. The advanced practice nurse determines that he has mumps. His roommate also is experiencing ma-laise and a sore throat
These two students by definition are considered a: a. Mixed outbreak b. Common source c. Point source d. Propagated outbreak