A 17-year-old well-female has come to the clinic to get a rubella immunization that is required by the college she plans to attend. Before administering this immunization, the client should have which screening or test?

Complete blood count

Lead screening

Pregnancy test

Tuberculosis screening

Answer and Explanation

The Correct Answer is C

A. A complete blood count is not specifically required before administering the rubella vaccine.

B. Lead screening is not related to rubella vaccination and is not required for this purpose.

C. The rubella vaccine is a live attenuated vaccine, and it is important to ensure that the patient is not pregnant because the vaccine could potentially harm the fetus. Therefore, a pregnancy test is a necessary precaution.

D. Tuberculosis screening is not related to the rubella vaccination and is not required for this purpose.

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Correct Answer is C

Explanation

A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.

B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.

C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.

D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.

A. The infant has passed several tar-like stools. B. The infant has not gained weight and has stooled once. C. The infant has not stooled. D. The infant has passed hard, pellet-like stools.

Correct Answer is C

Explanation

A. Passing tar-like stools is normal for newborns within the first few days of life and does not indicate Hirschsprung disease.

B. Limited stooling and poor weight gain may suggest feeding issues but are not as indicative of Hirschsprung disease as the absence of stool.

C. The absence of stool (failure to pass meconium within 24-48 hours) is a classic sign of Hirschsprung disease, a condition where the absence of ganglion cells in the intestines leads to a blockage.

D. Passing hard, pellet-like stools may indicate constipation but is not specific to Hirschsprung disease, especially in a newborn.

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A 17-year-old well-female has come to the clinic to get a rubella immunization that is required by the college she plans to attend. Before administering this immunization, the client should have which screening or test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?

Correct Answer is C

Explanation

A nurse is caring for a 3-day-old newborn and suspects Hirschsprung disease. What finding best supports the nurse's concern?

Correct Answer is C

Explanation

A 5-year-old girl presents to the clinic with a urinary tract infection (UTI). After educating the family on preventing recurrent infections, what statement by the family indicates further teaching is needed?

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A nurse is providing discharge instructions to the parent of a 10-year-old client following cardiac catheterization. Which instruction should the nurse include in the teaching?

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