While assisting with a routine physical examination of an adolescent, the mother asks if there are any immunizations due during the teen years. The nurse's most accurate response is:
1. "No booster immunizations are necessary during the teen years."
2. "Only the pneumonia vaccine and the flu vaccine are needed."
3. "A second MMR (measles, mumps, and rubella) is needed."
4. "Hepatitis A and B are required at this period in life."
3
Rationale: During the teen years, adolescents should receive a second MMR immunization.
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A woman is using a birth ball to promote comfort and fetal descent. The nurse observes the woman rocking back and forth while sitting on the ball. What action by the nurse is most appropriate?
A. Assess her response to the birth ball and document. B. Document that she is using the modality. C. Explain that she should move the ball in a circle. D. Instruct her to only use the birth ball for 10 minutes.
Ordered: A diuretic, furosemide 15 mg IV initial dose, for a child with edema The child's weight is 14 kg
SDR: 1-2 mg per kg per dose every 6 to 12 hr The nurse plans to deliver the medication in a volume control device, filling the container up to 20 mL with Ringer's lactate Sol from an existing infusion, gently mixing it. It will be infused at the rate of 1 minute per mL. a. SDR for this child's weight (mental math): b. Evaluation: Safe to give or hold and clarify promptly? c. Dose to be prepared if safe: Estimate; more or less than drug concentration?DA: d. Flow rate if applicable (mental math): e. Evaluation:
The intergovernmental organization whose aim is to facilitate interventions to improve the health status of people in economically deprived areas through such projects as developing effective sanitation systems is the
a. World Bank b. World Health Organization c. United Nations Children's Fund d. Pan American Health Organization
Which interventions are appropriate for a patient with diabetes and poor wound healing? (Select all that apply.)
a. Perform dressing changes twice a day as ordered. b. Teach the patient about signs and symptoms of infection. c. Instruct the family about how to perform dressing changes. d. Gently refocus patient from discussing body image changes. e. Administer medications to control the patient's blood sugar as ordered.