all of the following are contraindication when giving immunization except

ATI RN

Nutrition ATI Test

1. All of the following are contraindications when giving Immunization except:

A. BCG Vaccine can be given to a child with AIDS
B. BCG Vaccine can be given to a child with Hepatitis B
C. DPT can be given to a child that had convulsion 3 days after being given the first DPT dose
D. DPT can be given to a child with active convulsion or other neurological disease

Correct answer: B

Rationale: The correct answer is B. BCG vaccine can be given to a child with Hepatitis B, as there is no contraindication for this. Choice A, C, and D all present contraindications for administering immunizations. Choice A is incorrect because giving BCG vaccines to a child with AIDS is a contraindication. Choice C is incorrect as convulsions after the first DPT dose indicate a contraindication to subsequent doses. Choice D is incorrect because active convulsions or other neurological diseases are contraindications to receiving the DPT vaccine.

2. A client is being taught how to follow a low-purine diet for gout management. Which statement indicates the client understands the teaching?

A. "I will need to limit the number of fruit servings each day."?
B. "I should avoid eating liver and other organ meats."?
C. "I can drink only white wine."?
D. "I should choose red meat instead of poultry."?

Correct answer: B

Rationale: The correct answer is B. Organ meats like liver are high in purines, which can exacerbate gout symptoms. Choosing to avoid such foods is essential in following a low-purine diet. Option A is incorrect because fruits are generally low in purines and are not usually restricted in a low-purine diet. Option C is incorrect as white wine, just like other types of alcohol, should be consumed in moderation or avoided due to its purine content. Option D is incorrect because red meat, including beef and lamb, is high in purines and should be limited in a low-purine diet.

3. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?

A. Floss dentures as part of daily cleaning.
B. Wipe dentures before storing them in a dry container at night.
C. Wrap gloved fingers with gauze to remove dentures.
D. Use a washcloth to clean the denture surfaces.

Correct answer: C

Rationale: The correct answer is C: 'Wrap gloved fingers with gauze to remove dentures.' This method provides a safe and effective way to remove dentures without causing damage. Choice A is incorrect because flossing dentures is not recommended. Choice B is incorrect as it suggests wiping dentures and storing them dry, which is not the best practice. Choice D is incorrect because using a washcloth may not effectively clean all denture surfaces.

4. You notice that Miss Kate, a bread vendor, receives and changes money, then holds the bread without washing her hands. As a nurse, what should you say to Miss Kate?

A. Miss, don't touch the bread, I'll be the one to pick it up.
B. Miss, please wash your hands before you pick up the bread.
C. Miss, use a pick-up forceps when picking up the bread.
D. Miss, your hands are dirty, I guess I'll try another bread shop.

Correct answer: B

Rationale: The correct answer is B, as it emphasizes the importance of hygiene in food handling, which is crucial to prevent the spread of germs and diseases. The other options do not address the root of the issue, which is the unhygienic handling of food. Option A avoids direct confrontation but does not educate the vendor on proper hygiene. Option C, although it suggests a hygienic method, may not be practical or available in all situations. Option D is an avoidance strategy rather than a way to address the problem.

5. Which of the following is NOT a part of a process recording?

A. Non-verbal narrative account
B. Analysis and interpretation
C. Audio-visual recording
D. Verbal narrative account

Correct answer: C

Rationale: A process recording typically includes a non-verbal narrative account (Choice A), an analysis and interpretation (Choice B), and a verbal narrative account (Choice D). These components help in providing a comprehensive assessment of a patient's condition and ensuring that interventions are appropriately targeted for optimized outcomes. An audio-visual recording (Choice C), while it can be a part of some data collection processes, is not typically included in a process recording, making it the correct answer.