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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 patient has been prescribed clomiphene citrate (Clomid) for infertility. What should the nurse include in the teaching plan about the use of this medication?
- A. Clomiphene is taken daily for 5 days at the beginning of the menstrual cycle.
- B. Clomiphene is taken once daily throughout the menstrual cycle.
- C. Clomiphene is taken twice daily for 5 days at the end of the menstrual cycle.
- D. Clomiphene is taken three times daily for 10 days at the beginning of the menstrual cycle.
Correct Answer: A
Rationale: Clomiphene is typically taken daily for 5 days at the beginning of the menstrual cycle to stimulate ovulation.
A nurse is caring for a client with heart failure who is experiencing pulmonary edema. Which intervention should be prioritized?
- A. Administer diuretics to reduce fluid overload.
- B. Position the client in high-Fowler's position.
- C. Administer oxygen therapy to improve oxygenation.
- D. Restrict fluid intake to prevent further fluid overload.
Correct Answer: C
Rationale: Oxygen therapy is prioritized to improve oxygenation in clients with pulmonary edema.
A patient is prescribed estradiol (Estrace) for hormone replacement therapy (HRT). What should the nurse monitor during this therapy?
- A. Blood glucose levels
- B. Liver function tests
- C. Kidney function tests
- D. Blood pressure
Correct Answer: B
Rationale: Liver function tests should be monitored during estradiol therapy due to the potential for liver dysfunction.
A nursing student having trouble moving her head from side to side is likely experiencing a problem with which type of neurons?
- A. General visceral efferent neurons
- B. Preganglionic neurons
- C. Parasympathetic postganglionic neurons
- D. Pharyngeal efferent neurons
Correct Answer: D
Rationale: Pharyngeal efferent neurons are involved in head movement, including side-to-side motions.
A male patient receiving androgen therapy is concerned about side effects. What is the most serious adverse effect the nurse should monitor for during this therapy?
- A. Increased risk of cardiovascular events
- B. Increased risk of bone fractures
- C. Increased risk of venous thromboembolism
- D. Increased risk of mood changes
Correct Answer: A
Rationale: Androgen therapy can increase the risk of cardiovascular events, including heart attack and stroke, particularly in older patients.