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Questions 149

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Question 1 of 5

The nurse is caring for a client who is 14 weeks pregnant. The client is asking about vaccinations that can be given during pregnancy. Which of the following vaccines does the nurse tell the client that are safe during pregnancy?

Correct Answer: D

Rationale: The influenza vaccine is safe and recommended during pregnancy. Mumps, measles, and smallpox vaccines are contraindicated.

Question 2 of 5

A client is provided instructions for a low-sodium diet. Which statement by the client indicates an understanding of the diet?

Correct Answer: C

Rationale: Potato chips and cheese are high-sodium foods, and avoiding them shows understanding of a low-sodium diet.
Tomatoes and celery are low-sodium, and take-out is often high-sodium.

Question 3 of 5

A client is admitted with suspected Legionnaires' disease. Which factor increases the risk of developing Legionnaires' disease?

Correct Answer: A

Rationale: Steroid use increases the risk of Legionnaires' disease by suppressing the immune system, making individuals more susceptible to Legionella infection.

Question 4 of 5

A client with myasthenia gravis is admitted in a cholinergic crisis. Signs of of cholinergic crisis include:

Correct Answer: A

Rationale: Cholinergic crisis, due to excessive acetylcholinesterase inhibitors, causes symptoms like constricted pupils and decreased blood pressure from parasympathetic overstimulation.

Question 5 of 5

A client develops anaphylaxis syndrome and loses consciousness after eating fruit salad containing kiwi fruit, to which the client is severely allergic. The nurse is aware that the initial concern is which of the following?

Correct Answer: A

Rationale: In anaphylaxis with unconsciousness, the initial priority is to establish a patent airway (
A) to ensure adequate oxygenation. Epinephrine (
D), oxygen (
C), and fluids (
B) follow but are secondary to airway management.

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