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NEW QUESTION 32
A 2-year-old child diagnosed with HIV comes to a clinic for immunizations.
Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
- A. typhoid vaccine
- B. hepatitis A vaccine
- C. pneumococcal vaccine
- D. Lyme disease vaccine
Answer: C
Explanation:
Section: Health Promotion and Maintenance
Explanation:
Pneumococcal vaccine should be administered as a supplemental vaccine.
Hepatitis A vaccine is for travelers and individuals with chronic liver disease.
The Lyme disease vaccine is for people between the ages of 15 and 70 who are at risk for Lyme disease (transmitted by ticks primarily).
The typhoid vaccine is for workers in microbiology laboratories who frequently work with Salmonella typhi.
NEW QUESTION 33
After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
- A. breast tenderness
- B. weight gain
- C. fluid retention
- D. uterine bleeding
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects of hormone replacement therapy.
They should be noted in the record and reported to the physician, but they are not urgent.Health Promotion and Maintenance
NEW QUESTION 34
A woman asks, "How much alcohol can I safely drink while pregnant?" The nurse's best response is:
- A. "Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman."
- B. "The amount of alcohol that is safe during pregnancy is unknown."
- C. "Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy."
- D. "You can have a drink to help you relax and get to sleep at night."
Answer: B
Explanation:
The amount of alcohol that is safe during pregnancy is unknown. Fetal alcohol syndrome is a combination of mental and physical abnormalities present in infants born to mothers who have consumed alcohol during pregnancy.Psychosocial Integrity
NEW QUESTION 35
A client who is newly diagnosed with Parkinson's disease and beginning medication therapy asks the nurse,
"How soon will I see improvement?"
The nurse's best response is __________.
- A. "You should discuss that with your physician."
- B. "That varies from client to client."
- C. "You should notice a difference in a few days."
- D. "It might take several weeks before you notice improvement."
Answer: D
Explanation:
Section: Physiological Integrity
Explanation:
It might take several weeks of therapy for the client with Parkinson's disease to see improvement in symptoms.
Choice "That varies from client to client." is also true but is not the best response to the question.
Choice "You should discuss that with your physician." might be indicated but is not the best response to the question.
Choice "You should notice a difference in a few days." is incorrect.
NEW QUESTION 36
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