A client’s prenatal laboratory findings reveal no immunity to rubella.
The health care provider orders the rubella vaccine.
The nurse concludes that teaching about this medication is effective when the client states which of the following?

“I should not get pregnant for at least 4-12 weeks after the vaccine.”.

“I need another shot after each baby I have with Rh-positive blood.”.

“I need another shot in 1 month and again in 6 months.”.

“This shot may cause a fever and make me vomit.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The rubella vaccine is a live vaccine, which means it contains a weakened version of the virus. Because the virus is still active, live vaccines are not safe for pregnant people. There is a small chance they may pass the virus to the baby. Therefore, it is recommended that adults of childbearing age should avoid getting pregnant for at least four weeks after receiving the MMR vaccine. This is to ensure the safety of both the mother and the baby.

Choice B rationale

This statement is incorrect. The rubella vaccine does not require additional shots after each baby with Rh-positive blood. The rubella vaccine is typically administered in childhood and provides long-term protection.

Choice C rationale

This statement is also incorrect. The rubella vaccine does not require additional shots in 1 month and again in 6 months. The vaccine provides long-term protection and does not typically require frequent boosters.

Choice D rationale

While it’s true that some vaccines can cause side effects such as fever and vomiting, these are not common side effects of the rubella vaccine. Therefore, this statement is not entirely accurate.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

While the client’s daughter, who is the primary caregiver, may have a significant role in the client’s care, the decision to sign the informed consent ultimately lies with the client if they are deemed competent.

Choice B rationale

The client, who is alert and oriented to person, place, and time, and has advance directives, is the most appropriate person to sign the informed consent. As long as the client is competent and understands the information provided, they have the right to make their own medical decisions.

Choice C rationale

The client’s partner does not have the legal authority to sign the informed consent on behalf of the client unless the client is deemed incompetent and the partner is designated as the legal representative.

Choice D rationale

The client’s son, who has a durable power of attorney, can only sign the informed consent on behalf of the client if the client is deemed incompetent. Since the client is alert and oriented, they should be the one to sign the informed consent.

A. Sleep on your left side B. Drink milk to soothe your stomach C. Wait to go to bed for 1 hr after eating D. Eat four- six small meals each day

Correct Answer is D

Explanation

Choice A rationale

Sleeping on the left side does not directly help manage GERD. While it might help with digestion due to the positioning of the stomach, it is not a primary recommendation for GERD management.

Choice B rationale

Drinking milk is not a recommended way to soothe the stomach for a GERD patient. While milk might provide temporary relief from acid reflux, it could potentially stimulate the stomach to produce more acid, which can exacerbate GERD symptoms.

Choice C rationale

Waiting to go to bed for 1 hour after eating can help manage GERD. However, it is generally recommended to wait 2-3 hours after eating before lying down. This allows time for the stomach to empty and reduces the chance of stomach acid backing up into the esophagus.

Choice D rationale

Eating four to six small meals each day is a recommended way to manage GERD. Smaller meals are easier on the stomach, as they require less acid for digestion. This can help reduce the symptoms of GERD12.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client’s prenatal laboratory findings reveal no immunity to rubella.The health care provider orders the rubella vaccine.The nurse concludes that teaching about this medication is effective when the client states which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

Correct Answer is B

Explanation

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition.Which of the following instructions should be included?

Correct Answer is D

Explanation

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is the most common risk factor for abruption?

A nurse is caring for a new mother who is concerned that her newborn’s eyes cross.Which of the following statements is a therapeutic response by the nurse?

A nurse is caring for a patient with diabetes and plans to administer regular insulin subcutaneously before breakfast at 0800.After checking the patient’s morning glucose level, what action should the nurse take?

A nurse is educating a group of pregnant women about neural tube defects.Which of the following conditions should the nurse mention as an example of a neural tube defect?

A nurse is caring for a patient diagnosed with diabetic ketoacidosis.Which of the following symptoms should the nurse expect?

A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.Which of the following actions should the nurse take first?

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation.The client’s INR is 5.2. Which of the following medications should the nurse prepare to administer?

After the delivery of the placenta, a nurse in labor and delivery examines the umbilical cord.Which of the following vessels should the nurse expect to observe in the umbilical cord?

A client’s prenatal laboratory findings reveal no immunity to rubella.
The health care provider orders the rubella vaccine.
The nurse concludes that teaching about this medication is effective when the client states which of the following?