Author Question: In which client should the hepatitis B vaccine be withheld? 1. A client with anemia 2. A client ... (Read 88 times)

Sportsfan2111 · **on:** Jul 23, 2018

In which client should the hepatitis B vaccine be withheld?

1. A client with anemia
2. A client with arthritis
3. A client with hypertension
4. A client with an active infection

Question 2

The nurse understands the primary diagnostic characteristic of pertussis as being which finding?

1. Raised red rash
2. A whoop sound on inspiration
3. Gagging and vomiting
4. Tightening of the jaw muscles

Ksh22 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: An individual with anemia could receive the vaccine.
Rationale 2: An individual with arthritis could receive the vaccine.
Rationale 3: An individual with hypertension could receive the vaccine.
Rationale 4: An active infection would be a contraindication to the administration of hepatitis B vaccine.
Global Rationale: Patients with active infections or unexplained fever should delay use of the vaccine unless the health of the patient is endangered by withholding the vaccine. Anemia, arthritis, and hypertension do not preclude vaccination.

Answer to Question 2

Correct Answer: 2
Rationale 1: The primary diagnostic characteristic of pertussis is not a raised rash. This might be measles.
Rationale 2: This is correct; hence its name, whooping cough.
Rationale 3: These symptoms represent can occur with pertussis but are not the signature findings..
Rationale 4: The symptoms describe lockjaw.
Global Rationale: Pertussis begins with a low-grade fever and irritated cough and progresses to spasmodic coughing episodes characterized by an inspiratory whoop, leading to the common name whooping cough. The coughing episodes are productive and may be induced by laughing, talking, or activity in children, and lead to gagging or vomiting. Rash and tightening of the jaw muscles are not associated with pertussis.