An immunocompromised child has been exposed to chickenpox. What should the nurse anticipate to be prescribed to the exposed child?

a. Acyclovir (Zovirax)
b. Valacyclovir (Valtrex)
c. Amantadine (Symmetrel)
d. Varicella-zoster immune globulin


ANS: D
The use of varicella-zoster immune globulin or immune globulin intravenous (IGIV) is recommended for children who are immunocompromised, who have no previous history of varicella, and who are likely to contract the disease and have complications as a result. The antiviral agent acyclovir (Zovirax) or valacyclovir may be used to treat varicella infections in susceptible immunocompromised persons. It is effective in decreasing the number of lesions; shortening the duration of fever; and decreasing itching, lethargy, and anorexia. Symmetrel is an antiviral used to treat influenza.

Nursing

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The spleen is a highly vascularized organ located in the left upper quadrant of the abdominal cavity. The main functions of the spleen are (Select all that apply)

a. Serve as reservoir for blood b. Destroy worn-out RBCs c. Promote phagocytosis d. Responsible for development of T Lymphocytes e. Continuously produce RBCs during lifetime

Nursing

A certificate of need is a strategy implemented by the government to ____

a. Control the number of physicians working in the urban setting b. Determine which patients are candidates for transplantation c. Monitor the staffing shortages of nurses and nursing faculty d. Regulate the types of services that are offered within a region

Nursing

A nurse cares for a client experiencing an acute-phase inflammatory response. Which clinical manifestation does the nurse expect upon physical assessment?

A) Leukopenia B) Decreased serum proteins C) Pyrexia D) Decreased erythrocytes

Nursing

Based on the information shown in the accompanying figure and obtained for a patient in the emergency room, which action will the nurse take first?

a. Administer the prescribed morphine 4 mg IV. b. Contact the operating room to schedule surgery. c. Check the patient's oxygen saturation using pulse oximetry. d. Ask the patient about the date of the last tetanus immunization.

Nursing