A newly hired nurse is completing their health evaluation and physical for their new employment. The laboratory technician draws a titer for rubella. The laboratory results are negative. What would be the next action?
obtain a repeat titer
administration of immune globulin
nothing, the nurse has protection
administration of the rubella vaccine
The Correct Answer is D
A. While a repeat titer could be considered, if the initial result is negative, administration of the rubella vaccine is typically the next step.
B. Administration of immune globulin is not indicated in this scenario.
C. A negative rubella titer indicates lack of immunity, so further action is needed to protect the individual.
D. Administration of the rubella vaccine is indicated for individuals with a negative rubella titer to provide protection against rubella infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While monitoring urine characteristics is important for overall assessment, it may not be the priority in this situation.
B. Homan's sign is used to assess for deep vein thrombosis and may not be directly related to the client's current symptoms.
C. Elevated temperature after knee replacement surgery could indicate a potential infection, including pneumonia, so assessing lung sounds for signs of infection is a priority.
D. Diarrhea may be indicative of gastrointestinal issues but is less likely to be directly related to the client's current symptoms after knee replacement surgery.
Correct Answer is B
Explanation
A. The illness stage is the time when the symptoms are most severe and specific to the disease.
B. The prodromal stage is characterized by non-specific symptoms such as malaise, fever, and fatigue, which precede the onset of specific symptoms. The client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes is experiencing the prodromal stage of infection. These are some of the common signs and symptoms of a viral or bacterial infection of the throat, such as strep throat or pharyngitis.
C. The incubation stage occurs after exposure to the infectious agent but before symptoms appear.
D. The convalescence stage is the period of recovery and resolution of symptoms following an infection.
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