The nurse is planning to provide immunizations to a medically stable preterm infant. Which of the following immunizations would be indicated for this infant?
1. Hepatitis B
2. Smallpox
3. Influenza
4. Diphtheria, tetanus, acellular pertussis
4. Diphtheria, tetanus, acellular pertussis
Rationale:
Medically stable preterm infants should receive full doses of diphtheria, tetanus, and acellular pertussis at a chronologic age consistent with the schedule recommended for full-term infants. The optimal timing to initiate Hepatitis B vaccination in preterm infants has not been determined. The influenza vaccine should be administered at 6 months of age before the beginning of and during the influenza season. There is not enough information to determine whether the influenza vaccine is or is not indicated for the baby at this time. Smallpox vaccinations are provided to older children.
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The nurse organizing an Evidence-Based Practice Committee has a computer with Internet access. What else would be most important to the committee when searching for the most current scientific evidence?
a. Medical and nursing textbooks b. Database of health journals c. Subscriptions to scholarly journals d. Librarian in the facility
Which of the following would be most important to include when teaching the parents of a child with pinworm?
A) "Seal the child's clothing in a plastic bag for at least 10 days." B) "Be sure your child wears shoes at all times." C) "Make sure the child washes his hands after using the bathroom." D) "After applying this special cream, leave it on for about 8 to 10 hours."
A nurse is caring for a client who is undergoing peritoneal dialysis. The nurse notes the color of the effluent to appear cloudy. What is the nurse's best action?
A. Irrigate the peritoneal catheter. B. Notify the health care provider. C. Document the finding as the only action. D. Change the dialysate.
For a client receiving zidovudine (Retrovir), for which adverse reactions should the nurse increase surveillance?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Fatigue and generalized weakness B. New onset headache C. Constipation D. Edema E. Liver palpable on physical examination