The nurse is administering an immunization to a client. Which type of immunity will the client develop after the immunization?
1. Active
2. Haptens
3. Passive
4. Temporary
Ans: 1. Active
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A patient has arterial blood gas testing performed. Her PaO2 is 95 mm Hg, SaO2 is 90%, pH is 7.4, and HCO3 is 23 mEq/L. Which of these values should the nurse be most concerned about?
A) PaO2 B) HCO3 C) pH D) SaO2
The nurse is conducting a class for nurses hired to work on the oncology unit. What statement, if made by the nurse, would be correct regarding chemotherapy for older adults? (Select all that apply.)
A) Older adults may be more susceptible to the central nervous system (CNS) and GI effects of these drugs. B) Older patients are at risk for dehydration and diminished nutritional status. C) Safety precautions should be instituted as soon as any drug is initiated. D) Dosage will need to be adjusted based on the age of the older adult. E) Older adults are already somewhat immunosuppressed, so further suppression is a concern.
In preparing the patient admitted with benign prostatic hyperplasia for a lower urinary tract cystoscopic examination, the nurse informs him that the most common temporary complication experienced after this procedure is:
A) Urine retention B) High rate of bladder perforation C) Hemorrhage D) Nausea
The nurse is admitting an older adult with decompensated congestive heart failure. The nursing assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse should question which doctor's order?
a. Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr b. Furosemide (Lasix) 20 mg PO now c. Oxygen via face mask at 8 L/min d. KCl 20 mEq PO two times per day