The nurse is preparing to conduct an intervention in the area of space that is considered social or public. Which of the following interventions would occur in this space?
a. Checking the client's IV infusion
b. Leading a group discussion
c. Rocking a baby
d. Assessing the client's pain
ANS: B
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The nurse sees an older woman with osteoarthritis (OA) and a low-grade fever. The patient tells the nurse that her pain is changing; it is worse at night and in her shoulder muscles. Which of the following does the nurse perform to prevent complications of this patient's condition?
a. Assess her joints for swelling and redness. b. Obtain blood specimens for blood cultures. c. Direct her to report temporal or scalp pain. d. Tell her to apply moist heat for 20 minutes.
If the measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as the first MMR and varicella dose to a child the CDC recommends:
1. Parents be informed of the increased risk of fever and febrile seizures over the MMR plus varicella two-shot regimen. 2. Patients must also receive MMRV as the second dose of MMR and varicella in order to build adequate immunity. 3. Patients be premedicated with acetaminophen 15 minutes before the vaccine is given. 4. Patients should not be around pregnant women for the first 48 hours after the vaccine is given.
The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:
a. Both genes of a pair must be abnormal for the disorder to be expressed. b. Only one copy of the abnormal gene is required for the disorder to be expressed. c. The disorder occurs in males and heterozygous females. d. The disorder is carried on the X chromosome.
Which of the following statements related to osteoporosis is INCORRECT?
A. It is manifested by progressive decalcification of bones. B. It predisposes to fracture. C. Supplementary calcium intake may retard or prevent progression of the disease. D. It occurs with equal frequency in both men and women.