Final Exam) NR 565 Final Exam: 100% Verified Questions & Answers: Updated APlus Guide Solution

A patient reports taking an oral bisacodyl laxative for several years. Which of the following instructions should be given to guide the discontinuation of the laxative? · Withdraw from the laxative slowly to avoid a rebound constipation effect. · Stop taking the oral laxative and use a suppository until normal motility resumes. · Stop taking the laxative immediately and expect no stool for several days. · Switch to a bulk-forming laxative, such as methylcellulose. (Ans- · Stop taking the laxative immediately and expect no stool for several days. A patient who has been taking senna for several days reports that her urine is yellowish brown. Which of the following responses is the most appropriate response? · It indicates that renal failure has occurred. · It is caused by dehydration, which is a laxative side effect. · It is an expected, harmless effect of senna. · It is a sign of toxicity; this drug must be discontinued. (Ans- · It is an expected, harmless effect of senna. DTaP (Ans- Five doses: #1: 2 months #2: 4 months #3: 6 months #4: between 15 and 18 months #5: between 4 and 6 years Booster every 10 years thereafter starting at age 11 years Who should receive the Tdap vaccine? (Ans- A booster shot with Tdap is recommended for all children 11-18 years old. every 10 years after that. True contraindication for DTaP or Tdap vaccine: (Ans- • A shock like state • Fever (105°F or higher) occurring within 48 hours of vaccination and not attributable to another identifiable cause • Persistent, inconsolable crying lasting 3 or more hours and occurring within 48 hours of vaccination • Seizures (with or without fever) occurring within 3 days of vaccination history of anaphylactic reaction or encephalopathy within 7 days of vaccine Varicella Vaccine Contraindications (Ans- Pregnancy, certain cancers (leukemia, lymphomas, hypersensitivity to neomycin or gelatin, immunocompromised. Concern for Reye syndrome in children. Hepatitis B virus (HBV) vaccine Contraindications (Ans- Soreness at injection site and mild to moderate fever. Prior anaphylactic reaction to the vaccine itself or baker's yeast. Attenuated vaccine (Ans- Composed of live microbes that have been weakened or rendered completely avirulent. Live virus vaccine (Ans- Composed of living microbes that have been weakened or rendered completely avirulent. Toxoid vaccine (Ans- A bacterial toxin changed to a nontoxic form. Administration causes the receipt's immune system to manufacture antibodies. DTAP, TETANUS immunity - What are they and how is each one achieved? (Ans- Immunity is achieved through the occurrence of antibodies to a specific disease. Herd (Community) immunity: (Ans- The resistance to an infectious organism because a large group of people is immune to the infectious organism through vaccine. Active immunity: (Ans- The immune system produces antibodies in response to an antigen by the vaccine, or by the infection itself.