A mother brings her four-month-old infant in for a routine checkup and vaccinations. The mother reports that the four-month-old was exposed to a brother who has the flu. In this case, the nurse will:
1. Withhold the DTaP vaccination but give the others as scheduled.
2. Give the infant the flu vaccination but withhold the others.
3. Give the vaccinations as scheduled.
4. Withhold the vaccinations.
3
Rationale 1: There is no reason to withhold any of the vaccinations due at this time.
Rationale 2: The flu vaccination would not routinely be given to a four-month-old.
Rationale 3: Giving the vaccine as scheduled will keep the infant properly immunized.
Rationale 4: Recent exposure to an infectious disease is not a reason to defer a vaccine.
Global Rationale:
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A neonate is being fed 20 mL every 3 hours by orogastric gavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. The nurse should:
1. Withhold the feeding and notify the physician. 2. Replace the residual and continue with the full feeding. 3. Replace the residual, but only give 5 mL of the feeding. 4. Withhold the feeding and check the residual in 3 hours.
The nurse is caring for a patient with a tentative diagnosis of polycystic ovarian syndrome. When reviewing the patient's health history, which finding will provide support for the diagnosis?
a. Female pattern baldness b. Significant weight loss c. Menstrual periods every 33 days d. Elevations in serum glucose
A nurse performing triage in an emergency room makes assessments of clients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply
A) Carrying out a physician's order to intubate a client B) Educating a novice nurse on the principles of triage C) Using the nursing process to diagnose a blocked airway D) Interviewing privately a client suspected of being a victim of abuse E) Checking with the family about the data supplied by a client suffering from dementia
If you were to summarize the impact of Healthy People 2010: National Health Promotion and Disease Prevention Objectives on psychiatric nursing and the provision of mental health care, you would most likely say:
A) Healthy People 2010 predominately ignores the importance mental health care needs due to the high cost of established methods of treatment. Consequently, mental health prevention and care will become low-level priorities in the near future. B) Healthy People 2010 stresses the need to effectively use inpatient psychiatric hospitalization to treat mental illness in the future so that community health resources won't be depleted to the point that health care needs of other populations are overlooked. C) Healthy People 2010 identifies numerous mental health care goals. Psychiatric nurses are challenged to meet these goals within the context of market demands for cost-effective care. Consequently, there is currently more of an emphasis on preventing mental health disorders and a push to use hospitalization only when other forms of mental health services are not effective. D) Healthy People 2010 explains the health care agenda of the surgeon general. This document stresses how important it will be for psychiatric nurses to meet the mental health needs of the aging population. In fact, it identifies this need as a top priority because the large number of aging baby boomers will demand the allocation of mental-health resources to this segment of the population.