An 11-year-old boy received all childhood immunizations before attending school as a kindergartner. Which vaccines are recommended for this child at his current age?
a. DTaP, MCV4, Varivax
b. PCV-23, Td, MMR
c. Tdap, MCV4, HPV
d. Tdap, Varivax, hepatitis B
C
At age 11, both males and females should receive a booster of diphtheria, tetanus, and pertussis (Tdap); the Menactra vaccine against meningitis (MCV4); and the human papilloma virus (HPV) vaccine. A Varivax booster is not recommended at this age. The PCV-23 vaccine is indicated only in high-risk patients. The Td can be given, but a vaccine with a pertussis component is pre-ferred. The MMR is not given at this age. The hepatitis B vaccine is not given at this age.
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The nurse is caring for a patient who has a fractured pelvis with a left acetabular fracture and is in a Thomas splint with a Pearson attachment with orders of bedrest. When the patient asks to toilet, which of these measures would be appropriate?
a. Ask patient to lift straight up using a trapeze mounted above the bed and slide a bedpan underneath from the right side. b. Turn patient onto right side, place the bedpan behind, and turn back. c. Help patient up on a commode very carefully. d. Have patient sit up as high as possible and lift self up with hands pushing on the bed, then slide the bedpan underneath.
A 34-year-old female patient complains of lack of conception after unprotected sexual intercourse for 1 year. The patient has been keeping track of basal body temperature to plot ovulation. Pelvic examination is normal
The clinician should ask the patient if which of the following laboratory test(s) have been done: A. TSH B. FSH C. LH D. All of the above
An elderly patient has been on high doses of antibiotics and is experiencing a sudden loss of hearing. The nurse should contact the health care provider and
a. Stop antibiotic use until the physician responds. b. Tell the patient that older patients often lose low-frequency hearing. c. Explain that hearing loss usually occurs with thinning of the eardrum. d. Assure the patient that rapid hearing loss is normal in the elderly.
The tip of the enema tubing should be inserted into the anus
A) 1 to 2 inches. B) 2 to 6 inches. C) 2 to 4 inches. D) 6 to 8 inches.