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Answer updated on: 12 Feb 2020
Administering a measles, mumps, and rubella immunization to an infant
RATIONALE: Immunizing an infant is an example of primary prevention, which aims to prevent health problems. Administering digoxin to treat heart failure and obtaining a Pap test for screening are examples of secondary prevention, which promotes early detection and treatment of disease. Using occupational therapy to help a ...
Answer updated on: 12 Feb 2020
Diarrhea.RATIONALE: Oral acyclovir may cause such adverse GI effects as diarrhea, nausea, and vomiting. It isnt associated with palpitations, dizziness, or a metallic taste.
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
COGNITIVE LEVEL: Knowledge
REFERENCE: Karch, A.M. 2007 Lippincotts Nursing Drug Guide. Philadelphia: ...
Answer updated on: 12 Feb 2020
Talk with the mother about the concept of protected health information under the Health Insurance Portability and Accountability Act (HIPAA).RATIONALE: The Center for Adolescent Health Policy and the Law has determined that its appropriate for a minor to exercise privacy rights under the HIPAA regulation, whether or not the minor is emancipated. Therefore, it isnt appropriate for the nurse to ...
Answer updated on: 12 Feb 2020
A disease process is present.RATIONALE: This X-ray suggests tuberculosis. An ET tube thats 3/4 above the carina is at an adequate level in the trachea. Theres no need to advance it or pull it back.
CLIENT NEEDS CATEGORY: Health promotion and maintenance
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Analysis
REFERENCE: Smeltzer, S.C., et al. Brunner & Suddarths Textbook of Medical ...
Answer updated on: 12 Feb 2020
Apply a dressing over the wound and tape it on three sides.RATIONALE: The nurse should immediately apply a dressing over the stab wound and tape it on three sides to allow air to escape and to prevent tension pneumothorax (which is more life-threatening than an open chest wound). Only after covering and taping the wound should the nurse draw blood for laboratory tests, assist with chest tube ...
Answer updated on: 12 Feb 2020
21The correct answer is 21.
RATIONALE: The basal dosage for this client is 5 units of regular insulin and 10 units of NPH insulin. Using the medium-dose sliding scale and the clients blood glucose reading of 264 mg/dl, the nurse should determine that an additional 6 units of regular insulin are required, totalling 21 units (5 units + 10 units + 6 units = 21 units).
CLIENT NEEDS CATEGORY: ...
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