The nurse is reviewing a pregnant client's prenatal immunization history. Which immunization should the nurse instruct the client to receive after pregnancy?

Meningitis B.

Measles, mumps, rubella.

Diphtheria, pertussis, tetanus.

Influenza vaccine.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Meningitis B: This vaccine is not routinely indicated during or after pregnancy unless there is a specific risk factor or outbreak. It is not a standard postpartum immunization.

B. Measles, mumps, rubella: The MMR vaccine is live and contraindicated during pregnancy due to potential fetal harm. It should be given postpartum if the client is non-immune to prevent future infection.

C. Diphtheria, pertussis, tetanus: The Tdap vaccine is safe and recommended during each pregnancy, ideally between 27 and 36 weeks gestation, to provide passive immunity to the newborn.

D. Influenza vaccine: Inactivated influenza vaccine is recommended during pregnancy to protect both mother and baby. It should not be delayed until after pregnancy.

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Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"}}

Explanation

Rationale:

Depression or withdrawn behaviour: This behavior is often seen in neglected elders who lack meaningful interaction, care, or stimulation. Emotional neglect and isolation can lead to signs of withdrawal and sadness.
Oversedation : Overmedicating a client to control behavior or suppress activity is considered physical abuse. It reflects intentional harm or misuse of medications, especially when used to subdue.
Untreated pressure injuries: Failure to address and treat pressure ulcers indicates neglect, especially when the wounds are visible and advanced. It shows a lack of basic caregiving and health maintenance.
Bruises in various stages of healing: Multiple bruises at different stages suggest repeated physical trauma over time. This is a strong red flag for physical abuse rather than accidental injury.
Poor personal hygiene: Long, dirty nails and unclean conditions point to inadequate caregiving. Basic hygiene neglect often reflects poor or absent daily care practices.
Leaving an older adult in a public space: Leaving an elder alone in public with no supervision or support meets the definition of abandonment. It places the individual in a vulnerable and unsafe situation.

A. A salad with three kinds of lettuce and fruit. B. A peanut butter sandwich with soda and cookies. C. Vegetable soup, crackers, and milk. D. A tuna fish sandwich with chips and ice cream.

Correct Answer is D

Explanation

Rationale:

A. A salad with three kinds of lettuce and fruit: While this meal is rich in vitamins and fiber, it lacks a significant source of protein necessary for wound healing. Leafy greens and fruits contribute micronutrients but provide minimal protein content.

B. A peanut butter sandwich with soda and cookies: Peanut butter contains some protein, but the overall meal is high in sugar and low in high-quality protein. The presence of soda and cookies further reduces the nutritional adequacy for promoting wound healing.

C. Vegetable soup, crackers, and milk: Milk does provide some protein, but the rest of the meal is low in protein-dense items. Vegetable soup and crackers are mostly carbohydrates and contribute very little to the client’s protein requirements.

D. A tuna fish sandwich with chips and ice cream: Tuna is a high-quality source of complete protein, which is essential for tissue repair. Though chips and ice cream are not ideal nutritionally, the inclusion of tuna makes this the most protein-rich option to support wound healing.

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The nurse is reviewing a pregnant client's prenatal immunization history. Which immunization should the nurse instruct the client to receive after pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Click to indicate if the listed manifestations of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"}}

Explanation

The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client indicates that the teaching was effective?

Correct Answer is D

Explanation

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

While transferring a client with a chest tube from the bed to a stretcher, the chest tube becomes disconnected from the water- seal drainage container. The nurse immediately immerses the end of the tube in a container of sterile water. Which action should the nurse implement next?

The school nurse is preparing a presentation for elementary school teachers to inform them when a child should be referred to the school clinic for further follow-up. The teachers should be instructed to report which situations to the school nurse? Select all that apply.

The healthcare provider prescribes 500 mL of 0.45% normal saline with 100 units regular insulin to infuse at 15 units/hour. The drop factor is 20 gtt/mL. The nurse should regulate the IV to deliver how many gtt/minute? (Enter numerical value only.)

The camp nurse is teaching adolescents about the prevention of tinea pedis. Which instruction should the nurse include in the teaching plan?