The nurse is preparing to administer the influenza

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9. The nurse is preparing to administer the influenza immunization to four patients. Allergy to which substance should cause the nurse to question giving the immunization? a. Strawberriesb. Ragweedc. Penicillind. EggsANS: D The influenza vaccine is cultured in chicken embryos, making anyone allergic to eggs probably allergic to the immunization. PTS: 1 DIF: Cognitive Level: Application REF: 256 OBJ: 2 (theory) TOP: Influenza Immunization Allergy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 10. While performing an assessment, the nurse auscultates a coarse low-pitched sonorous rattling in the left lower lobe. Based on the presence of this adventitious lung sound, which action should the nurse take next? NURSINGTB.COM MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
NURSINGTB.COM PTS: 1 DIF: Cognitive Level: Application REF: 265 OBJ: 5 (clinical) TOP: Breath Sounds KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 11. When the nurse places the diaphragm of the stethoscope over one of the main bronchi, which expected normal breath sound should the nurse hear? PTS: 1 DIF: Cognitive Level: Comprehension REF: 265 OBJ: 5 (clinical) TOP: Breath Sounds KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance

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