The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
a. Can interfere with the treatment for nephrosis
b. Require that the child have antibiotic coverage
c. Can be given in smaller, divided doses
d. Should be delayed
ANS: D
No vaccinations or immunizations should be administered while the disease is active and during immunosuppressive therapy.
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The family of an older patient dying of liver cancer is concerned that the patient will not eat or drink. The patient is alert and oriented, and expresses no desire to eat. What action would the nurse take?
1. Force fluids. 2. Consult the dietician for feeding supplements. 3. Contact the physician for an order for tube feedings. 4. Comply with the patient's wishes despite the family's concern.
Which of the following describes the philosophical differences between the trainer's and educator's role?
1. Trainers are concerned with outcomes only whereas educators are concerned strictly with the educational process. 2. Trainers focus on behavior change through skill acquisition while concentrate on learning, thinking, and problem solving as a way to change behavior. 3. Any employee can be a trainer whereas an individual must have an advanced degree to be an educator. 4. Trainers rely on skill acquisition through learning, thinking, and problem solving as a way to change behavior, while educators rely on behavioral psychology which focuses on behavior change.
The nurse is performing a community needs assessment. Which concept is accurate regarding the influence that an individual's peers can have on health promotion behaviors?
a. Peers are more often associated with negatively influencing individual health promotion behaviors. b. Only adolescents and the elderly are susceptible to peer influences regarding health promotion behaviors. c. Peers can positively influence health promotion behaviors, especially if the peer is experiencing benefits from the behavior. d. Celebrity spokespersons have been found to have very little impact on individual health promotion behaviors.
Nurses need to know the basic definitions and incidence data about postpartum hemorr-hage (PPH). For instance:
a. PPH is easy to recognize early; after all, the woman is bleeding. b. Traditionally it takes more than 1000 ml of blood after vaginal birth and 2500 ml after cesarean birth to define the condition as PPH. c. If anything, nurses and doctors tend to overestimate the amount of blood loss. d. Traditionally PPH has been classified as early or late with respect to birth.