The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV) vaccine. Which is a contraindication associated with administering this vaccine?
a. The child has recently been exposed to an infectious disease.
b. The child has symptoms of a cold but no fever.
c. The child is having intermittent episodes of diarrhea.
d. The child has a disorder that causes a deficient immune system.
ANS: D
The MMRV (measles, mumps, rubella, and varicella) vaccine is an attenuated live virus vaccine. Children with deficient immune systems should not receive the MMRV vaccine because of a lack of evidence of its safety in this population. Exposure to an infectious disease, symptoms of a cold, or intermittent episodes of diarrhea are not contraindications to receiving a live vaccine.
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After teaching a group of community health students about public and private sector programs and initiatives aimed as combating homelessness,
the instructor determines that they need additional teaching when they identify which of the following as a private sector organization? A) National Coalition for the Homeless B) National Alliance to End Homelessness C) National Resource Center on Homelessness and Mental Illness D) National Low-Income Housing Coalition
A client is diagnosed with acute poisoning of acetylsalicylic acid (aspirin). The nurse knows that ion trapping will be the therapy of choice for this medication and prepares to:
1. Insert a nasogastric tube for lavage. 2. Provide supportive therapy. 3. Hang a bag of 100 mL normal saline solution with 100 units regular insulin adjusted to the client's rising blood glucose levels. 4. Administer sodium bicarbonate and furosemide (Lasix) intravenously.
Which statement by A.H. indicates a need for further education?
a. "I will report any fever greater than 100 ° F." b. "I will avoid heavy lifting for 3 more weeks." c. "I will call my doctor right away if I notice redness or swelling at the incision." d. "I will look for color changes in my feet and lower legs."
In assessing onset of multiple organ failure, which may be the earliest noninvasive clinical assessment finding?
a. dyspnea or increased respiratory rate b. decreased cardiac output c. abdominal distention d. protein in urine