A nurse is caring for an antepartum patient whose lab results show a negative rubella titer. What does this data mean?

The patient needs a rubella vaccination after delivery.

The patient is not currently infected with rubella.

The patient is immune to the rubella virus.

The patient requires a rubella vaccination at this time.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A negative rubella titer indicates that the patient does not have immunity to the rubella virus. Therefore, the patient would need a rubella vaccination after delivery to prevent future infection.

Choice B rationale

A negative rubella titer does not necessarily mean that the patient is not currently infected with rubella. It simply means that the patient does not have immunity to the virus.

Choice C rationale

A negative rubella titer indicates that the patient is not immune to the rubella virus, not that they are immune.

Choice D rationale

While the patient does need a rubella vaccination, it is not typically given during pregnancy due to the theoretical risk to the fetus. Instead, it is usually given after delivery.

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Correct Answer is C

Explanation

An abnormal absolute neutrophil count in a preschooler should be reported to the healthcare provider immediately. Neutrophils are a type of white blood cell that play a key role in the body’s immune response. An abnormal count could indicate an infection, inflammation, or other serious health conditions.

A. Provide a diet containing 2 g of sodium per day. B. Administer desmopressin acetate 0.2 mg orally. C. Restrict fluid intake to 1,000 mL per day. D. Maintain an IV of 0.45% sodium chloride.

Correct Answer is C

Explanation

Choice A rationale

Providing a diet containing 2 g of sodium per day is not typically part of the treatment for SIADH. In fact, increasing sodium intake could potentially worsen hyponatremia, a common condition in SIADH7.

Choice B rationale

Administering desmopressin acetate 0.2 mg orally is not typically part of the treatment for SIADH. Desmopressin is a synthetic form of ADH, and administering this medication could potentially worsen the symptoms of SIADH, which is characterized by an overproduction of ADH7.

Choice C rationale

Restricting fluid intake to 1,000 mL per day is often part of the treatment for SIADH. This helps to correct the imbalance of water in the body, which is a common issue in SIADH8.

Choice D rationale

Maintaining an IV of 0.45% sodium chloride is not typically part of the treatment for SIADH. This type of IV fluid is hypotonic, meaning it has a lower concentration of solutes (like sodium) than the blood. This could potentially worsen the hyponatremia seen in SIADH7.

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A nurse is caring for an antepartum patient whose lab results show a negative rubella titer. What does this data mean?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschooler. Which of the following findings should the nurse report to the healthcare provider immediately? (Select all that apply)

Correct Answer is C

Explanation

A nurse is caring for a patient who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. What prescription should the nurse anticipate?

Correct Answer is C

Explanation

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