The nurse administers an immunization consisting of antibodies against hepatitis B. The nurse knows this is a form of what type of immunity?
a. Naturally acquired passive
b. Naturally acquired active
c. Artificially acquired passive
d. Innate
ANS: C
The body did not have to work to develop the immunity; therefore, it is passive, and the patient was artificially exposed. It is not innate because it was provided. It was not naturally acquired because it was given in the vaccine.
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A client states inability to swallow a large capsule ordered. What should the nurse do first?
a. Consult with the pharmacist regarding other available forms for this drug. b. Consult with the health care provider regarding client difficulty with the capsule size. c. Dissolve the capsule's contents in warm water. d. Obtain and administer the elixir form of the drug.
A nurse on the behavioral health unit is caring for a client diagnosed with depression, who just lost a spouse in a motor-vehicle accident
The client states to the nurse, "my wife would not have wanted to live if she were disabled." Based on this statement, which defense mechanism is the client using? A) Identification B) Denial C) Intellectualization D) Displacement
A toddler with spastic cerebral palsy needs to be transported to the radiology department. What transportation method should the nurse use to take the toddler to the radiology department?
a. A stretcher b. A wheelchair c. A wagon with pillows d. Carried in the nurse's arms
Standards of nursing practice are developed within the profession to describe practice and establish the minimum level of safe practice. The purpose of standards of nursing practice can include:
a. helping to ensure that nurses are competent and safe to practice. b. serving as a guide for nurses providing care. c. determining whether the actions of nurses accused of malpractice are consistent with reasonable expectations. d. all of the above.