A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?

"You can receive the immunization for influenza at any time during your pregnancy."

"The hepatitis B immunization should not be obtained until after you finish breastfeeding."

"You can receive the rubella immunization during the third trimester of pregnancy."

"The immunization for varicella should be given at least 1 month prior to delivery."

Answer and Explanation

The Correct Answer is A

A.   Correct. Influenza immunization is recommended for pregnant individuals, and it can be given at any time during pregnancy, especially during flu season.
B.   Incorrect. The hepatitis B immunization is safe during pregnancy and can be administered if indicated, regardless of breastfeeding status.
C.   Incorrect. Rubella immunization is not recommended during pregnancy due to potential risks to the fetus. It should be given prior to pregnancy or after delivery.
D.   Incorrect. Varicella immunization is also not recommended during pregnancy due to potential risks. It should be administered before pregnancy or after delivery if needed.

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Correct Answer is C

Explanation

Choice A rationale:

Headache is a common adverse effect of disulfiram when alcohol is consumed. It is part of the adverse reaction created by the drug to deter individuals from drinking. While headache is a known symptom, tinnitus is a more specific and distinctive adverse effect associated with disulfiram use.

Choice B rationale:

Hypertension is not a common adverse effect of disulfiram. Disulfiram does not directly impact blood pressure. Its primary action is to cause an adverse reaction when alcohol is consumed.

Choice C rationale:

Tinnitus (ringing in the ears) is a known adverse effect of disulfiram when alcohol is ingested. Disulfiram inhibits the breakdown of acetaldehyde, leading to an accumulation of this toxic substance in the body. Tinnitus is one of the symptoms of this toxic reaction and is a significant concern in individuals taking disulfiram for alcohol use disorder.

Choice D rationale:

Insomnia is not a common adverse effect of disulfiram. Disulfiram works by creating an unpleasant reaction when alcohol is consumed, which deters individuals from drinking. This reaction does not typically manifest as insomnia.

A. Continuously monitor the child's respiratory status. B. Administer pancreatic enzymes with meals. C. Assess the child for frequent swallowing. D. Carefully suction the child's oropharynx to remove secretions.

Correct Answer is A

Explanation

A. Correct. Epiglottitis can cause airway obstruction, so continuous respiratory monitoring is crucial to detect any signs of respiratory distress.

B. Incorrect. Administering pancreatic enzymes is not relevant to epiglottitis.

C. Incorrect. Frequent swallowing assessment is not the priority for epiglottitis. Airway management is.

D. Incorrect. Suctioning may be necessary, but continuous respiratory monitoring takes precedence.

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A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking disulfiram for alcohol use disorder and reports ingestion of alcohol. For which of the following adverse effects should the nurse monitor?

Correct Answer is C

Explanation

A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis?

A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a sitting position.Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension?

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