The client who is recovering from hepatitis A infection asks the nurse whether he should take the hepatitis A vaccine to avoid contracting this disease again. What is the nurse's best re-sponse?
A. "Yes, because now you are more susceptible to this infection."
B. "Yes, because hepatitis A is widespread and considered to be a sexual transmitted disease."
C. "No, your liver and immune system are too impaired at this time to respond ap-propriately to a vaccination for hepatitis."
D. "No, this infection has done the same thing a vaccination would and your immune system now makes antibodies against hepatitis A."
D
A vaccination with hepatitis A vaccine is an artificial way of stimulating the immune system to make antibodies against hepatitis A (artificially acquired active immunity). This client's immune system has responded to an actual infection with hepatitis A by making many antibodies to hepa-titis A (naturally acquired active immunity) and he does not need a vaccination for this virus.
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A nursing instructor is educating a group of students on culture and diversity as it relates to homicide. Which statement made by a student nurse would indicate to the instructor that further education is needed?
A) "Caucasian individuals are more likely to use a gun as a means of homicide than any other weapon." B) "Stranger homicides typically are not interracial." C) "The homicide rate among African American individuals is considerably higher than that among individuals of other races." D) "Caucasian individuals are significantly more likely to commit homicides involving multiple victims."
An emergency department nurse is caring for a 7-year-old child suspected of having meningitis
The patient is to have a lumbar puncture performed, and the nurse is doing postprocedure teaching with the child and the mother. The nurse's action is an example of which therapeutic communication technique? A) Informing B) Suggesting C) Humor D) Broad openings
When analyzing the feelings of others, or the nurse's own feelings, the nurse is:
A) Conducting a self-assessment. B) Engaging in introspection. C) Testing boundaries. D) Conducting an affective analysis.
Identify the statement that accurately explains the symptoms that a patient being administered filgrastim (Neupogen) should report to the physician.
A. The patient should immediately report to the physician any nausea, vomiting, hair loss, and bone pain. B. The patient should immediately report to the physician any fever, chills, GI disturbances, and muscle and bone pain. C. The patient should immediately report to the physician the presence of swollen glands, sore throat, and feelings of tiredness. D. The patient should immediately report to the physician any fever, flu-like symptoms, and fluid retention.