The nurse is assessing a toddler's vaccination status. Which vaccines does the nurse anticipate administering during the 18-month well-child visit? Select all that apply
1) Haemophilus influenza vaccine
2) Hepatitis B vaccine (HepB)
3) Measles, Mumps, Rubella (MMR) vaccine
4) Chickenpox vaccine
5) Diptheria, tetanus, and pertussis (DTP)
ANS: 2, 5
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A hospital has "stood down" from a mass casualty disaster. The staff have rested and eaten. Which action by the nursing supervisor takes priority?
a. Restocking the emergency department (ED) b. Making rounds on each unit to check staffing c. Determining which staff can go home d. Planning a critical incident stress debrief-ing
The nurse determines that an older client is experiencing an adverse effect from a prescribed medication because of:
1. Altered memory. 2. Altered organ responsiveness. 3. Decreased manual dexterity. 4. Decreased visual acuity.
If you are with a patient when he or she receives a shock from an ICD, you should
A) have the patient lie down immediately. B) expect that the patient's entire body will become rigid. C) step away from the patient so you will not receive a shock. D) inform the nurse of what the patient was doing prior to the shock.
The nurse must notify the physician of the need to suspend treatment for a client receiving clozapine (Clozaril) when the weekly WBC monitoring shows:
1. WBCs below 2000/mm3 and absolute neutrophils below 1000/mm3 2. WBCs below 2500/mm3 and absolute neutrophils below 1500/mm3 3. WBCs below 3000/mm3 and absolute neutrophils below 2000/mm3 4. WBCs below 3500/mm3 and absolute neutrophils below 2500/mm3