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.
NUrse
The nurse needs to note the source of the patient health history
The nurse applies a pulse oximeter sensor on the client’s finger.
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Vaccine Development
Philip wants to supplement his pension by $415 per month with income from his investments. His ...