31. Which nursing diagnoses would provide the most plausible indicatio
31. Which nursing diagnoses would provide the most plausible indication for the use of epoetin alfa in a client with renal failure? a. Risk for infection related to decreased erythropoiesis
b. Activity intolerance related to decreased oxygen-carrying capacity
c. Powerlessness-related sequelae of renal failure
d. Ineffective breathing pattern related to inadequate erythropoietin synthesis
32. An infant is being administered an immunization. Which statement provides an accurate description of an immunization?
a. It should be administered to a pregnant woman prior to the infants birth.
b. It is the administration of an antigen for an antibody response.
c. It produces many adverse reactions, particular autism, in the infant.
d. It protects the infant from exposure to infectious antibodies.
33. A client has received a rubella immunization. The client was unaware that she was pregnant. What risk is associated with the administration of the rubella immunization in this client?
a. Risk of development of the disease in the newborn
b. Risk of low infant birth weight
c. Risk of preterm labor
d. Risk of birth defects
34. When instructing the parents of a child who has received immunization in the vastus lateralis, which reaction is most common in the days after the administration?
a. Nausea, vomiting, and diarrhea
b. Rash and edema
c. Weakness and difficulty walking
d. Tenderness and redness at the site – Nursing
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