CH 16 & 19

Artificially acquired active immunity doesn't always confer lifelong immunity.

A 25-year-old patient believed that he still had immunity to childhood illnesses until he developed chickenpox. What is the best explanation of this situation made by the nurse to the patient?

Start the patient on chenodiol to dissolve the stones

A 47-year-old patient has been diagnosed with cholesterol gallstones. She has had increased abdominal pain following fatty meals for the past few weeks. The physician orders an x-ray examination, which reveals radiolucent cholesterol gallstones. What should the nurse anticipate the physician will do next?

Give the immunizations

A child is scheduled for immunizations, but the mother states that his temperature has been 100.2° F all day. The nurse will take which action next?

Immunity through breastfeeding an infant

A female patient brings her newborn in to the clinic for immunizations. During the visit, the patient asks the nurse what is naturally acquired passive immunity. What is the best example provided by the nurse?

Saline laxative

A frail 67-year-old nursing-home patient is brought to the clinic for a barium enema. For the next few days following the procedure, he fails to have any bowel movements. The nurse anticipates the physician will probably order which treatment?

"More complications are caused by the disease than by the immunization."

A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child. Which would be the nurse's best response to the mother?

Protective antibodies

A patient asks the nurse why she needs a booster of tetanus toxoid after she cut her finger, since she already had a shot when she was a child. What should the nurse explain the booster produces?

Antacid

A patient comes into the clinic complaining of severe abdominal pain that occurs approximately 45 to 60 minutes after eating. The pain also wakes him up at night. When he eats or drinks some milk, he feels better. When he eats Mexican food or drinks alcohol, it feels worse. The physician plans to order some x-ray films. Before the tests are completed, the nurse anticipates the physician will probably ask the patient to take which medication?

Active infection is present

A patient comes into the clinic with complaints of a cold. He is also there for a flu shot. Which represents the reason a flu shot is not recommended in this case?

Oranges, Bran cereals, Figs

A patient complains of constipation. Which high-fiber foods would the nurse instruct the patient to add to his diet? (Select all that apply.)

Antispasmodics and anticholinergics

A patient complains to her physician of abdominal bloating and discomfort. She is a known alcoholic and has been treated recently for pancreatitis. Which medications may be used to reduce abdominal discomfort resulting from intestinal spasm, increased motility, and acid production?

Disulfiram

A patient is admitted to the hospital inpatient treatment unit for alcohol intoxication. After 2 days without alcohol, he is medically stable enough to begin therapy. He begins individual therapy and group sessions with Alcoholics Anonymous. Prior to discharge, the nurse anticipates the physician might also start him on which medication?

Protonix

A patient is diagnosed as having a duodenal ulcer. Which medication does the nurse anticipate the physician will order?

Cough syrup

A patient on disulfiram should be cautioned to avoid ingesting alcohol used as an ingredient in certain preparations. Which product has hidden alcohol?

The patient may still have alcohol in his system

A patient recovering from alcoholism has been taking disulfiram for a week. On a return visit to the clinic, the patient tells the nurse that he is experiencing flushing and warming of the face. What may be causing this reaction?

Simethicone

A patient who has had gallbladder surgery finds that in the postoperative period she is bothered by an excess of intestinal gas, producing flatus and bloating. Which would be an appropriate medication for this symptom?

a."Antacids are used to neutralize the acidity in your stomach between meals." b."Although food helps to reduce discomfort by buffering your stomach acid, the antacids will help to neutralize the acid and reduce your pain."

A patient with gastritis asks why the physician put her on an antacid when she has already been eating well. Which would be the best response made by the nurse? (Select all that apply.)

It it most effective and has fewer side effects

A young female patient is diagnosed with irritable bowel syndrome and is in an acute phase. She is placed on Sal-Tropine (atropine sulfate) at the maximum dose. The patient will best benefit from this medication because of which reason?

Disulfiram( antabuse)

An alcoholic patient comes to the emergency department after drinking a beer. He has complaints of severe diarrhea, nausea, and vomiting. Which drug would produce this kind of reaction in the patient?

Potassium level

An elderly patient comes into the clinic. The nurse notes on her routine clinic-visit questionnaire that she has checked frequent use of a stimulant laxative. The nurse should pay close attention to which laboratory value for this patient?

Increase fluid intake to 6 to 8 glasses of water daily

An older patient has been diagnosed with having laxative dependency due to chronic laxative use. The nurse plans to educate the patient on nonpharmacologic measures to prevent constipation. What should the nurse's education plan include?

The lymphatic system

How are foreign substances in the bloodstream removed from the body?

Hepatitis B Polio Varicella

Infants and children are immunized to prevent which diseases? (Select all that apply.)

Have the patient drink 6 to 8 glasses of water each day

One of the nurse's older adult patients is abusing laxatives. Which would be an appropriate intervention for this patient to help reduce this chronic laxative use and dependency?

Disease suppression

Patients receiving immune serums should be evaluated for which effect?

Meningitis Pneumonia

Pneumococcal vaccine produces immunity against which illnesses? (Select all that apply.)

Streptococcus pneumoniae

Protection from which infectious disease can be offered by routine immunization with PCV (children) or PPV (adults) vaccine?

every 10 years

TD (tetanus and diphtheria) boosters are recommended at which interval?

Tuberculosis

The biologic agent purified protein derivative (PPD) is used to screen for exposure to which disease?

Natural

The development of immunity to the chickenpox virus after having the disease is an example of which kind of immunity?

b.)Antacids should be taken at bedtime. c.)Antacids serve as a gastric buffer. d.)Antacids must be taken between meals.

The nurse is giving discharge instructions to a patient who will be taking an antacid for gastric problems. Which responses are correct about antacids? (Select all that apply.)

It should not be taken with milk

The nurse is instructing an elderly patient about the use of bisacodyl enteric-coated tablets for the treatment of constipation. Which response is true about this medication?

Assess for bowel sounds

The nurse is preparing to administer a saline laxative with a patient who has been constipated for 4 days. Which is the priority task to be completed by the nurse first?

Negative

The nurse observes the arm of a patient who was given the Mantoux skin test for tuberculosis. There is induration of 3 mm. How should the nurse document the results?

Older adult woman

The nurse would recommend a yearly influenza virus vaccine to which person?

Antiflatulent

The physician orders an antacid for a patient diagnosed with functional dyspepsia. Which other types of medication may be ordered in conjunction with the antacid to treat this patient for stomach discomfort after eating?

Bulk forming agents Lubricants Saline solutions Fecal softeners

Which are classified as one of the five major categories of laxatives? (Select all that apply.)

Toxoids

Which biologic agents are used in a routine schedule for active immunizations?

Her father is chronically ill at home

Which circumstance indicates that a 5-year-old about to enter grade school should be screened for current illness before receiving her immunizations?

Receiving prophylactic vaccines

Which is an example of artificially acquired active immunity?

Acetaminophen

Which is the best intervention to relieve local discomfort from an immunization?

Obtain a blood titer

Which is the nurse's best means of determining whether a patient is immunized against a certain disease?

Warm compresses Acetaminophen Antihistamines Rest

Which may be used to relieve localized discomfort after immunization injections? (Select all that apply.)

Neonate

Which patient is at an increased risk if using an immunologic agent?

A soldier on active duty

Which patient is at high risk for needing a booster injection of vaccine?

an adult who has never been immunized

Which patient should take the varicella vaccine?

They are biologic agents that produce active immunization. They are prepared with animal serum.

Which statements are correct concerning vaccines and toxoids? (Select all that apply.)

Vaccine

Which term refers to a medication containing a weakened or dead antigen?

Many biologic agents come from chick embryos

Why is it important for the nurse giving a vaccine to know whether the patient has an allergy to eggs and feathers?