Author Question: The nurse is collecting data at the immunization clinic. Which disclosure by the patient would cause ... (Read 69 times)

nenivikky · **on:** Jun 25, 2018

The nurse is collecting data at the immunization clinic. Which disclosure by the patient would cause the nurse to withhold the administration of the varicella vaccine?

1. a blood transfusion after undergoing surgery 3 months ago
2. history of an allergic reaction to yeast bread
3. itching and swelling on the face and hands after ingesting eggs
4. a low-grade temperature within the past 2 days

Question 2

The nurse learns that topical medication and heat have been used to treat stage 3 pressure ulcers. What should the nurse consider before implementing this treatment approach?

1. How long the heat should be applied to the area
2. If the patient can withstand the application of heat
3. What medication should be used in the wound bed
4. If the treatment approach is ethical and evidence-based

bobsmith · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

Contraindications for the varicella vaccine include pregnancy, suppressed immunity, and a recent history of a blood transfusion. Recent hyperthermia and allergy to yeast or eggs do not indicate a potential difficulty with the administration of the varicella vaccine.

Answer to Question 2

Correct Answer: 4

EBP has a basis in ethical principles. However, not all approaches used to improve quality are evidenced based or ethical. Evidence-based approaches would provide all necessary information such as length of time to apply heat and medication to use in the wound bed. Questioning if the patient can withstand the application of heat to the area is not appropriate.