A nurse should screen clients of childbearing age for pregnancy as the administration of which of the following vaccines is contraindicated during pregnancy? Select all that apply

A) Influenza
B) Varicella
C) Measles
D) Mumps
E) Rubella


Ans: B, C, D, E
Feedback:
The measles, mumps, rubella, and varicella vaccines are contraindicated during pregnancy, especially during the first trimester, because of the danger for birth defects.

Nursing

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The nurse has completed a community presentation about the changes of pregnancy. Which statement by a community member indicates that learning has occurred? "One probable or objective change of pregnancy is:

1. "Enlargement of the uterus." 2. "Hearing the baby's heart rate." 3. "Increased urinary frequency." 4. "Nausea and vomiting."

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Enduring ideas about what a person considers is desirable or has worth in life is known as a:

a. value. b. first-order belief c. higher order belief d. stereotype

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The mother of a 6-year-old Vietnamese child admitted with pneumonia is rubbing a coin on the child's back. The coin leaves red marks. What should the nurse do about this observation?

a. Report the possibility of child abuse. b. Do not allow the mother to be alone with her child. c. Explain to the mother that she cannot do this in the hospital. d. Add a statement to the care plan that the family practices coining.

Nursing

The patient is an elderly gentleman who is admitted for a medical problem. While doing his admission assessment, the nurse learns that the patient gets up two to three times a night to use the restroom

The institution has only beds with four side rails. Which of the following is the appropriate rationale for leaving one of the lower side rails down? a. Falls rarely happen in the inpatient setting. b. Having all side rails raised increases the occurrence of falling. c. Side rails have no bearing on whether or not a patient falls. d. Patient falls rarely result in physical injury.

Nursing