Answer to Question 1
3
Rationale: Prior to the administration of MMR vaccine, a thorough health history needs to be obtained. MMR is used with caution in a child with a history of an allergy to gelatin, eggs, or neomycin, because the live measles vaccine is produced by chick embryo cell culture and MMR also contains a small amount of the antibiotic neomycin. Has the child had any sore throats? Has the child been eating properly? and Has the child been exposed to any infections? are not contraindications to administering immunizations.
Answer to Question 2
2
Rationale: Dexamethasone is a glucocorticoid (corticosteroid) and therefore can elevate the blood glucose level. Diabetic clients may need their dosage of insulin or oral hypoglycemic medications increased during glucocorticoid therapy. This is most often a temporary change, needed to compensate for the actions of the medication.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
7 month history of gradual, painless swelling and redness of both eyes
To check pupillary reflexes the nurse first holds the penlight
A vaccine for meningococcal meningitis is now available.
Preparing a Smear
A dendritic cell preparing to engulf spores of a fungus, Aspergillus fumigatus.