A 38-year-old migrant farm worker is seen in the clinic with a cut to his arm from an old metal drum. The patient has sutures placed, and a tetanus, diphtheria, and acellular pertussis vaccine is given. What is the nurse's most important action after the vaccine has been administered?

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Drugs Affecting the Female Reproductive System NCLEX Quizlet Questions

Question 1 of 5

A 38-year-old migrant farm worker is seen in the clinic with a cut to his arm from an old metal drum. The patient has sutures placed, and a tetanus, diphtheria, and acellular pertussis vaccine is given. What is the nurse's most important action after the vaccine has been administered?

Correct Answer: E

Rationale: The correct answer is E) The nurse educates the patient about the importance of completing the tetanus, diphtheria, and acellular pertussis vaccine series. This is the most critical action because ensuring the patient understands the need for completing the series will help in achieving optimal immunity against these diseases. Option A is incorrect because providing the patient with a vaccine information statement, while important, is not the most critical action in this scenario. Option C is also incorrect as determining the exact date of the patient's last tetanus booster is not as crucial as educating the patient about completing the vaccine series. Option D is incorrect as documenting side effects is important but not as vital as ensuring patient understanding and compliance with the vaccination regimen. In an educational context, it is essential for nurses to prioritize patient education on vaccination schedules and completion to enhance health outcomes and prevent disease transmission. Understanding the rationale behind completing vaccine series empowers patients to take an active role in their healthcare and promotes public health by reducing the spread of preventable diseases.

Question 2 of 5

The nurse is teaching a pregnant client how to decrease the gastrointestinal distress she experiences with prenatal vitamins. Which instruction would the nurse provide?

Correct Answer: A

Rationale: The correct answer is A: Take her vitamins between meals. This instruction is correct because taking prenatal vitamins between meals can help decrease gastrointestinal distress by reducing the likelihood of experiencing nausea or vomiting that may occur when taking vitamins on an empty stomach or with food. It allows for better absorption of the vitamins while minimizing the chances of stomach upset. Choice B is incorrect as eating when taking vitamins may exacerbate gastrointestinal distress. Choice C is incorrect as orange juice may also contribute to stomach upset due to its acidity. Choice D is incorrect as milk may interfere with the absorption of certain vitamins and minerals present in the prenatal vitamins.

Question 3 of 5

A primigravida patient, 8 gestational weeks, is at the prenatal clinic for her first examination with complaints of nausea and vomiting every morning.” Which comment made by the patient would indicate the need for further instruction?

Correct Answer: D

Rationale: The correct answer is D because chamomile tea is not recommended during pregnancy as it may increase the risk of miscarriage. Ginger cookies (A), dry crackers (B), and avoiding strong-smelling foods (C) are all common strategies for managing nausea and vomiting in pregnancy. Chamomile tea is not recommended due to its potential effects on pregnancy.

Question 4 of 5

A patient (gravida 3, para 2, at 40.6 weeks' gestation) asks, Is there anything we can do to start labor besides medication? I'm so ready to have this baby.” Which response is appropriate by the nurse?

Correct Answer: C

Rationale: The correct answer is C because brisk walking can help stimulate contractions by using gravity to encourage the baby's descent. This physical activity can engage the baby's head on the cervix, promoting the release of oxytocin, a hormone that triggers labor. This is a non-invasive and natural method that can be safe for most pregnant individuals. Choice A is incorrect because there are non-medication methods like brisk walking that can help start labor. Choice B is incorrect as amniocentesis is not typically used to initiate labor but to assess lung maturity. Choice D is incorrect as it mentions medication for labor induction, which was not the patient's initial inquiry about non-medication options.

Question 5 of 5

A patient has an epidural for pain control during labor. During the

Correct Answer: A

Rationale: The correct answer is A because ensuring the safety and well-being of the patient is the top priority in nursing care. By monitoring the patient's response to the epidural and assessing for any complications, the nurse can provide timely interventions if needed. Administering low-flow oxygen (B) may not be necessary unless there is a specific indication. Turning the patient on her left side (C) is important for labor progress but not the priority in this scenario. Option D is incomplete.

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