All of the following persons should receive a dose of the meningococcal vaccine except:

A. a 19-year-old who received a first dose at 12 years of age.
B. a 22-year-old who has not received the vaccine and will be moving to a college dormitory.
C. a 35-year-old who will be traveling to a country where meningococcal disease is hyperendemic.
D. a 15-year-old who received a first dose at 11 years of age.


Answer: D. a 15-year-old who received a first dose at 11 years of age.

Nursing

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You are admitting a patient diagnosed with urinary retention. What question should be included as part of the assessment?

A) "Do you have dribbling urine?" B) "Are you following a fluid-restricted diet?" C) "Do you experience shortness of breath?" D) "Are you experiencing vertigo?"

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The nurse is providing disease management education to a client with Raynaud's disease. What intervention does the nurse suggest to prevent complications of this disease?

a. "Take vasoconstrictive agents when you have symptoms." b. "Wear warm clothing when exposed to cool temperatures." c. "Avoid placing alcohol-based lotion on affected extremities." d. "Check the strength of pulses in your arms and legs daily."

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Which statement correctly identifies why restricting dietary intake of cholesterol generally will not result in a significant reduction of blood cholesterol?

A. Most clients are not compliant with the dietary restriction. B. Cholesterol is found in nearly all foods, and it is not possible to eliminate it from the diet. C. Cholesterol is made within the body and cannot be absorbed via external sources. D. The liver reacts to a low-cholesterol diet by making more cholesterol.

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The student asks the professor why water and electrolytes are transported in both directions through tight junctions and intercellular spaces rather than across cell membranes. What response by the professor is best?

a. The intercellular hydrostatic pressure is inadequate to push the water and electrolytes across the cell membranes. b. A balance of cations and ions among the electrolytes on each side of the cell membranes cannot be maintained. c. The epithelial cell membranes are formed of lipids that are hydrophobic and therefore repel water. d. Receptors on those cell membranes are occupied with a diffusion of amino acids and monosaccharides.

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