A pregnant client tells the nurse they have not had any vaccines but wants to be vaccinated so their unborn child is protected against infections. Which vaccine may be administered to this patient?

Influenza vaccine

Varivax vaccine

MMR vaccine

Gardasil vaccine

Answer and Explanation

The Correct Answer is A

A. Influenza vaccine: The influenza vaccine is safe and recommended during pregnancy, particularly in the second and third trimesters. It helps protect both the mother and the unborn child from the flu, which can cause severe complications in pregnant women.

B. Varivax vaccine: The Varivax vaccine, which protects against chickenpox, is a live attenuated vaccine and should not be given during pregnancy due to potential risks to the fetus. If a woman has not had chickenpox, she should be vaccinated before becoming pregnant.

C. MMR vaccine: The MMR vaccine, which protects against measles, mumps, and rubella, is a live attenuated vaccine and should not be given during pregnancy. It is recommended to wait until after pregnancy to receive this vaccine, as it can pose risks to the developing fetus.

D. Gardasil vaccine: The Gardasil vaccine, which protects against human papillomavirus (HPV), is not recommended during pregnancy. It is advised to delay vaccination until after pregnancy. The potential risks are not well established, so it is typically avoided.

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Correct Answer is ["B","D","E"]

Explanation

A. Restrict the intake of fruit, vegetables, and fluid: There is no need to restrict the intake of fruit, vegetables, or fluids for a child with a ventriculoperitoneal (VP) shunt. Maintaining proper hydration and nutrition is essential for overall health, and a balanced diet is encouraged.

B. Expect to have the shunt replaced as the child grows: As the child grows, the ventriculoperitoneal shunt may need to be replaced or adjusted to accommodate the growing head and body. This is an important aspect of long-term management of the condition.

C. Examine the site every year for signs of swelling or redness: It is important to monitor the shunt site daily or regularly, more frequently than once a year. Parents should be taught to check the site for signs of infection, swelling, or redness and to notify the healthcare provider if any of these occur.

D. Observe the child for signs of increased intracranial pressure: Increased intracranial pressure (ICP) is a critical concern for children with a VP shunt. Symptoms such as vomiting, lethargy, irritability, or changes in behavior may indicate increased ICP, which requires immediate medical attention.

E. Notify the health provider if the child develops a fever: A fever can be a sign of infection, which could indicate a complication with the shunt, such as an infection of the shunt or its components. Parents should notify the healthcare provider promptly if the child develops a fever.

A. Be careful that it doesn't scratch them B. Refrain from cleaning the cat's food bowl C. Ask someone else to change the cat litter D. Give it away until after delivery

Correct Answer is C

Explanation

A. Be careful that it doesn't scratch them: While it’s important to avoid scratches that could lead to infections, this is not the primary concern for a pregnant woman with a cat. The main concern revolves around parasitic infection.

B. Refrain from cleaning the cat's food bowl: There is no specific risk to the pregnant client from cleaning the cat's food bowl. The primary concern is handling the cat's litter box, not its food bowl.

C. Ask someone else to change the cat litter: Pregnant women should avoid changing cat litter due to the risk of toxoplasmosis, an infection caused by the Toxoplasma parasite that can be found in cat feces. This infection can harm the fetus.

D. Give it away until after delivery: There is no need to give away the cat during pregnancy as long as the woman avoids cleaning the litter box and practices good hygiene. Toxoplasmosis can generally be avoided with proper precautions.

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A pregnant client tells the nurse they have not had any vaccines but wants to be vaccinated so their unborn child is protected against infections. Which vaccine may be administered to this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing teaching for the parents of a newborn with a newly-placed ventriculoperitoneal shunt. What should the nurse include in this teaching? Select all that apply

Correct Answer is ["B","D","E"]

Explanation

What education would the nurse provide to a client who is 16 weeks pregnant and owns a cat?

Correct Answer is C

Explanation

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