The nurse is reviewing the immunization record for a client who just learned she is pregnant. Which vaccine is not safe to give during pregnancy?
A) Pertussis
B) Annual influenza
C) Rubella
D) Tetanus
Answer: C
Rubella vaccine should never be given to pregnant women (or women trying to conceive) because the vaccine contains the attenuated live virus, which has teratogenic effects on the developing fetus. Pertussis, tetanus, and annual influenza vaccines can safely be given in pregnancy. Safe vaccine recommendations for pregnant women are available from the Centers for Disease Control and Prevention website (http://www.cdc.gov).
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The nurse is preparing a 5-year-old for an x-ray. Which of the following would be the best approach to prepare the child for the procedure?
A) "We are going to take some x-rays of your body." B) "We need to look inside at some of your organs." C) "X-rays are not painful, you won't feel a thing." D) "We are going to use a big camera to take pictures inside your body."
A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the client's learning? Select all that apply
A) Teach "survival skills" first. B) Use simple, nonmedical language. C) Refrain from using a hands-on approach. D) Avoid repeating information. E) Use visual materials such as photos and videos.
A female patient continues to develop vaginal infections. What teaching should the nurse provide to assist this patient?
Select all that apply. 1. "Wear only nylon underwear." 2. "Be sure to wash the perineal region daily and as necessary throughout the day." 3. "Avoid wearing tight jeans or pants." 4. "Douche daily." 5. "Use condoms when engaging in sexual activity."
A male patient, admitted with a gastrointestinal bleed and a hematocrit level of 40%, receives fluid resuscitation. In a few hours, the hematocrit level drops to 32%. Which of the following does this indicate to the nurse?
1. continued bleeding 2. hemodilution caused by fluid resuscitation 3. patient has another undiagnosed site of bleeding 4. patient has underlying renal disease