When an 8-year-old asks the nurse how shots kept her from getting whooping cough, the nurse explains that the shots:
a. Were borrowed antibodies from another person who had whooping cough
b. Gave her a "tiny" case of whooping cough and then she made her own antibodies
c. Strengthened the antibodies she was born with
d. Are only temporary borrowed antibodies, and she needs to have another shot every 5 years
B
Vaccines contain live weakened or dead organisms that are not strong enough to cause disease, but they stimulate the body to develop an immune reaction and antibodies. This is active acquired immunity.
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During a health interview by the home health nurse, which patient complaint suggests left-sided heart failure?
a. "I have to sleep in my recliner and I have this hacking cough." b. "I have no appetite and I have lost 3 lb in the last week." c. "I have to urinate every 2 hours, even during the night." d. "I go barefoot most of the time because my feet are so hot."
A patient is admitted with signs of chronic renal failure. Which finding would alert the nurse to possible metabolic acidosis?
1. Kussmaul's respirations 2. Low urine output 3. Muscle cramps 4. Diarrhea
The nurse has entered a hospital patient's room and asked him if he plans to attend the morning's scheduled group life-skills session. Which of the following responses should signal the presence of thought blocking to the nurse?
A) "Warning, warning, watch your back." B) "I might. I'll give it some…." C) "Well, that's certainly the end of that." D) The client makes eye contact with the nurse but does not respond verbally.
During the introductory phase of interviewing for the purpose of obtaining information for the nursing history, the nurse should
A) Review literature pertinent to the patient's attributes B) Assess his or her own feelings regarding similar clinical situations C) Inform the patient of the maintenance of confidentiality D) Implement supportive nursing interventions