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A primiparous woman tells the nurse that she and her partner are highly reluctant to have their infant vaccinated, stating, "We've read that vaccines can potentially cause a lot of harm, so we're not sure we want to take that risk." How should the nurse respond to this family's concerns?
- A. "Vaccinations are not without some risks, but these are far exceeded by the potential
- B. "The potential risks of vaccinations have been investigated and determined to be
- C. "Unfortunately, state laws mandate that your child receive the full schedule of vaccines."
- D. "Vaccines indeed cause several serious adverse effects, but these are usually treated at the
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 5-month-old child is admitted to the hospital with recurring respiratory infections. A possible cause of this condition is:
- A. Hypergammaglobulinemia
- B. Increased maternal IgG
- C. Immune insufficiency
- D. Decreased maternal antibody breakdown, resulting in hyposensitivity
Correct Answer: C
Rationale: Immune insufficiency is a possible cause of recurring respiratory infections in a 5-month-old child.
A 74-year-old woman states that many of her peers underwent hormone replacement therapy (HRT) in years past. The woman asks the nurse why her primary care provider has not yet proposed this treatment for her. What fact should underlie the nurse's response to the woman?
- A. The risks of stroke and breast cancer are unacceptably high in women taking HRT.
- B. HRT was found to cause mood disturbances in many women who used it long term.
- C. HRT was found to be a significant risk factor for bone fractures and osteoporosis.
- D. The risks of chronic obstructive pulmonary disease were found to be significantly higher in women using HRT.
Correct Answer: A
Rationale: The correct answer is A because the main reason HRT is not recommended for all women is due to the increased risks of stroke and breast cancer associated with its use. Choices B, C, and D are incorrect as they do not address the primary concerns regarding HRT use. HRT can indeed cause mood disturbances and may have effects on bone health, but the main concerns regarding its use revolve around the risks of stroke and breast cancer.
The parents of a 4-year-old girl have sought care because their daughter has admitted to chewing and swallowing imported toy figurines that have been determined to be made of lead. Which of the following blood tests should the care team prioritize?
- A. White blood cell levels with differential
- B. Red blood cell levels and morphology
- C. Urea and creatinine levels
- D. Liver function panel
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy?
- A. White blood cells
- B. Red blood cells
- C. Phagocytes
- D. Myocardial cells
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child has been taking mebendazole for the past 3 weeks after being diagnosed with roundworm. The nurse will determine the efficacy of the child's treatment by referencing what diagnostic test?
- A. Liver enzymes
- B. Stool for ova and parasites
- C. Colonoscopy or sigmoidoscopy
- D. Rectal swab for culture
Correct Answer: A
Rationale: Progestin-only contraceptives are preferred in women who are at increased risk of thromboembolic events, such as those with a history of blood clots.