The nurse is preparing for a visit with a 4-month-old infant. What immunizations will the nurse prepare? (Select all that apply.)
A) Diphtheria and tetanus toxoids and acellular pertussis vaccine, adsorbed (DTaP)
B) Inactivated poliovirus vaccine (IPV)
C) Haemophilus influenzae type b vaccine (Hib)
D) Varicella
E) meningococcal
A, B, C
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At 4 months of age, the child will receive a DTaP, Hib, IPV, and PCV. Varicella vaccine is not given until the child is at least 1 year of age, and Meningococcal is usually given at age 11 to 12 years unless the patient is at high risk for development of the disease before that age.
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After a subarachnoid hemorrhage, the patient's laboratory results indicate a serum sodium level of less than 126 mEq/L. What is the nurse's most appropriate action?
A) Administer a bolus of normal saline as ordered. B) Prepare the patient for thrombolytic therapy as ordered. C) Facilitate testing for hypothalamic dysfunction. D) Prepare to administer 3% NaCl by IV as ordered.
When administering fosphenytoin sodium to a client experiencing status epilepticus the nurse knows if he administers the drug at a rate greater than 150 mg/mint, it could result in:
a. bradycardia. c. sinus rhythm. b. ventricular fibrillation. d. cardiac arrest.
The RN is admitting a client to the medical unit for a urinary disorder. Which physical assessment techniques should the nurse use in assessing this client's urinary system?
1. Auscultation and inspection 2. Inspection and percussion 3. Observation and auscultation 4. Palpation and observation
The nurse completed assessments on several patients. Which assessment finding will the nurse record as normal?
a. Pulse strength 3 b. 1+ pitting edema c. Constricting pupils when directly illuminated d. Hyperactive bowel sounds in all four quadrants