With regard to rubella and Rh issues, nurses should be aware ...

[Mr. Wonderful]

With regard to rubella and Rh issues, nurses should be aware that:
 
  a. Breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus.
  b. Women should be warned that the rubella vaccination is teratogenic and that they must avoid pregnancy for 1 month after vaccination.
  c. Rh immune globulin is safely administered intravenously because it cannot harm a nursing infant.
  d. Rh immune globulin boosts the immune system and thereby enhances the effec-tiveness of vaccinations.

Question 2

A child has been admitted to the hospital unconscious. The child has a history of insulin-dependent diabetes mellitus, and according to the child's mother, he took a normal dose of insulin this morning with breakfast.
 
  At school, the child had two pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this child's unconscious state? 1. Metabolic alkalosis
  2. Metabolic ketoacidosis
  3. Insulin shock
  4. Insulin reaction

[irishcancer18]

Answer to Question 1

B

Feedback
A Because the live attenuated rubella virus is not communicable in breast milk, breastfeeding mothers can be vaccinated.
B Women should understand they must practice contraception for 1 month after being vaccinated.
C Rh immune globulin is administered intramuscularly; it should never be given to an infant.
D Rh immune globulin suppresses the immune system and therefore might thwart the rubella vaccination.

Answer to Question 2

2
Rationale:
1. Metabolic alkalosis would not be happening in this case.
2. Metabolic acidosis or ketoacidosis could have occurred because of the excessive intake of sugar with no additional insulin. The body burns fat and protein stores for energy when no insulin is available to metabolize glucose. Altered consciousness occurs as symptoms progress.
3. Insulin shock would not be happening in this case.
4. Insulin reaction would not be happening in this case.