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**Recent updates of 2022-2024 , Revise it in 5 min*
*NORCET 8.0*
1. *Td has replaced TT*
2. *PCV booster at 9 month.PCV 13 is used*
3. *IPV 3rd dose at 9th month*
4. *JENVAC :JE killed vaccine introducedd in selected states. Given intramuscular-Left thigh*
5. *Rotavac and JENVAC-Follows open and Vial Policy.Since Rotavac multidose vials introduced*
6. *Zero dose children-Child has not recieved first dose of pentavalent by 1 yr*
7. *FIC plus:Child has recieved all vaccines by 1yr*
8. *TB diagnosis-Universal DST:CBNAAT in all patients*
9. *Nikshay Poshan Abhiyan:1000rs/month for TB patient*
10. *BePaLM: Bedaqualine+Pretomanid+Linezolid+Moxiflox-For MDR treatment in India*
11. *Mass Drug administration for filariasis:its biannual now*
12. *Trple drug therapy : Ivermectin+DEC+Albendazole:To eliminate filariasis*
13. *Liposomal amphotericin B infusion:DOC for Kala Aza* r
14. * *TLD: Tenofovir+Lamivudine+Dolutegravir-Used in ART,for pregnants*and for pregnants and for post exposure prophylaxis*
15. *Early infant diagnosis at 6 weeks:use TNA PCR-Total nucleic acid PCR. To diagnose HIV*
16. *Polio virus recently eradicated :WPV3*
17. *1 or more nerve involvement:Classified under MB leprosy*
18. *Treatment packs same for both PB and MB leprosy.Duration is different .PB-6 months,MB-12 months*
19. *PM matru vandana Yojana*
*-Rs 5000 for first live birth in 2 instalments*
*-Rs 6000: if second is girl child*
20. *Syndromic management-Kit 8 (Brown) introduced:For anorectal discharge-With Cefixime+Doxy*
21. *Helath and wellness centres renamed as-Ayushmann Aarogya mandir*
22. *Mid day Meal scheme: Renamed as PM-POSHAN.It's under Ministry of Education (Before under HRD)*
23. *Iodine:RDA-Adults-140 microgram*
*Pregnants-220 microgram*
*Lactation-280 microgram*
24. *Shakirs tape: 11.5 cm to 12.5cm-Yellow.More than 12.5-Green and less than 11.5-Red (Dont Follow old values)*
25. *Global hunger index for India:27.3(Severe hunger).Rank 105*
26. *Peri conceptional folic acid:400 microgram-start 1 month before Pregnancy and continue for 3 months in first trimester*
27. *Sand fly control:Use Synthetic pyretheroids(Alpha cypermethrin 5%) Vector has shown resistance to DDT*
28. *ESI scheme-Creches:for more than 50 women workers (Before it was 30)*
29. *WHO THEME 2025:Helathy beginnings,Hopeful futures*
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A nurse is providing discharge teaching to a client with a new colostomy. Which dietary advice should be included?
A nurse is caring for a client with hyperparathyroidism. Which lab result would the nurse expect to be elevated?
A client with Parkinson's disease is experiencing bradykinesia. What nursing intervention would be most helpful?
A nurse is educating a client about the use of a peak flow meter. What is the correct technique?
A client is undergoing continuous bladder irrigation following a transurethral resection of the prostate (TURP). The nurse notices that the output is less than the amount of irrigation solution infused. What is the appropriate nursing action?
A nurse is assessing a client who has taken an overdose of acetaminophen. What complication is the nurse most concerned about?
A client with rheumatoid arthritis is prescribed methotrexate. What is an important consideration?
A nurse is preparing to administer a unit of packed red blood cells (PRBCs). Which action is most important before starting the transfusion?
A nurse is caring for a client who is postoperative from abdominal surgery. Which intervention is most important to prevent venous thromboembolism (VTE)?
A client with a history of deep vein thrombosis is prescribed enoxaparin. What should the nurse monitor?
A nurse is caring for a client with a pressure ulcer. Which intervention would promote wound healing?
A client with acute pancreatitis has a nasogastric (NG) tube in place. What is the primary purpose of the NG tube?
A nurse is teaching a client about a new prescription for digoxin. Which symptom should the client report immediately?
