In a nursing class, the instructor is discussing the differences between acellular vaccines and toxoids. The students are able to identify acellular vaccines because:
1. The vaccines produce a toxin to get an immune response.
2. The vaccine has a whole viral protein cell, unlike the toxoids.
3. The vaccine has fragments of cells to stimulate an immune response.
4. The vaccine is inactive and produced by whole cell bacteria.
3
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1. The toxin does not produce the immune response.
2. The cell proteins are not whole.
3. Fragments of the cell cause the immune response.
4. The vaccine is active and requires stimulation to create the immune response.
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The nurse is planning care for a client diagnosed with rheumatoid arthritis. Which of the following should be included in this plan of care? (Select all that apply.)
1. Muscle strengthening exercises 2. Range-of-motion exercises 3. Application of heat 4. Application of cold 5. Joint massage 6. Yoga
One of the first cities in North America to become involved in the Healthy Cities movement was
a. Toronto b. Boston c. Pasadena d. Indianapolis
A novice mental health nurse shares that, "I'll never get used to playing cards or other games with patients. It seems like a poor use of scarce nursing time." The best response for the nurse's mentor would be:
a. "Perhaps you'll want to rethink your transfer to this unit if you're really uncom-fortable." b. "Your comments make a point about scarce resources. I'll ask the treatment team to review our position on activities." c. "Activity co-leadership puts us in a position to help patients develop social skills and support them as they take small risks." d. "Managed care has cost us activities therapists. Activities are necessary to give patients something to do, so we have to fill in."
A patient comes to the clinic concerned about possible migraine headaches
The primary care NP conducts a history and physical examination, and the patient describes vise-like pressure in the back of the head that occurs almost daily during the work week. The NP should recommend: a. acetaminophen. b. topiramate. c. sumatriptan. d. ergotamine.