A client recovering from hepatitis A asks whether he should take the vaccine to avoid contracting the disease again. What does the nurse say?
a. "Yes, because now you are more suscept-ible to this infection."
b. "Yes, because the hepatitis A virus changes from year to year."
c. "No, your liver and immune system are too impaired at this time."
d. "No, having the infection has done the same thing a vaccination would."
D
Vaccination with hepatitis A vaccine is an artificial way of stimulating the immune system to make antibodies against hepatitis A (artificially acquired active immunity). This client's immune system has responded to an actual infection with hepatitis A by making many antibodies to hepa-titis A (naturally acquired active immunity); therefore he does not need a vaccination for this vi-rus.
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The nurse is assessing a patient with myasthenia gravis. Which are characteristics of this disease?
Select all that apply. 1. Routine exercise provides an improvement in muscle strength. 2. Visual problems may be an early symptom. 3. There may be difficulty swallowing. 4. Great improvement occurs in muscle strength with physical therapy. 5. There may be poor articulation in speaking.
The physician has just told the client that the results of a biopsy performed yesterday reveal no malignancy. During discharge teaching, the nurse finds the client to be easily distractible and unable to focus
What is the nurse's best interpretation of this situation? A) These findings reflect mild anxiety, but the client should retain information taught despite this distractibility. B) Since there is no malignancy present, the client feels there is no need for teaching. C) The client did not understand that there is no malignancy. D) Anxiety can result from both positive and negative stimuli.
Which does the nurse implement to apply a moist-to-dry dressing?
1. Apply dry absorbent outer dressing. 2. Pack flat gauze into the wound bed. 3. Soak wound packing with antiseptic. 4. Moisten old dressing before removal.
Pharmacokinetic changes with aging is reflective of
A. What the drug does to the body B. What the body does to the drug C. The effect at the site of action and the time and intensity of the drug D. The side effects commonly associated with the drug