Nokea
A child receives a vaccine for MMR. Six hours after the injection, the child’s parent reports local soreness, erythema, lethargy, and a fever of 101°F to a nurse. Which action should the nurse take?
- A. Give instructions on relieving symptoms with acetaminophen
- B. Seek emergency help, because these symptoms are signs of anaphylactic reaction
- C. Tell the parent that a live vaccine will cause a mild case of measles
- D. Obtain and fill out a Vaccine Adverse Event Report form
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is preparing to administer a daily dose of digoxin. What is the priority nursing intervention?
- A. Analyze HR and rhythm
- B. Assess for Homan’s sign
- C. Check BP
- D. Palpate the pedal pulses
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The child who continues to search for a hidden subject has achieved the developmental age of
- A. 7 mo
- B. 9 mo
- C. 11 mo
- D. 13 mo
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The patient taking warfarin for prevention of deep vein thrombosis has an INR of 1.2. Which action by the nurse is most appropriate?
- A. Administer IV push protamine sulfate
- B. Continue with the current prescription.
- C. Prepare to administer Vitamin K
- D. Call healthcare provider to increase the dose
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The child who continues to search for a hidden subject has achieved the developmental age of
- A. 7 mo
- B. 9 mo
- C. 11 mo
- D. 13 mo
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is planning care for an infant with hyperbilirubinemia receiving phototherapy. Which of the following actions should the healthcare professional include in the plan?
- A. Dress the infant in light, breathable clothing.
- B. Turn and reposition the infant every 4 hours.
- C. Offer the infant frequent, small feedings.
- D. Avoid using lotions on the infant's skin.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.