A 17-year-old well-female has come to the clinic to get a rubella immunization that is required by the college she plans to attend. Before administering this immunization, the client should have which screening or test?

Complete blood count

Lead screening

Pregnancy test

Tuberculosis screening

Answer and Explanation

The Correct Answer is C

A. A complete blood count is not specifically required before administering the rubella vaccine.

B. Lead screening is not related to rubella vaccination and is not required for this purpose.

C. The rubella vaccine is a live attenuated vaccine, and it is important to ensure that the patient is not pregnant because the vaccine could potentially harm the fetus. Therefore, a pregnancy test is a necessary precaution.

D. Tuberculosis screening is not related to the rubella vaccination and is not required for this purpose.

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Correct Answer is B

Explanation

A. PKU is typically diagnosed through a blood test, not a urine test. The blood test measures phenylalanine levels, which are elevated in PKU.

B. Untreated PKU can lead to severe cognitive deficits and developmental delays due to the accumulation of phenylalanine, which is toxic to the brain. Early detection and treatment can prevent these outcomes.

C. In PKU, the urine does not typically contain high levels of phenyl pyruvic acid; it is the blood levels of phenylalanine that are elevated.

D. The effects of PKU are not reversible; however, with early and consistent treatment, such as a strict low-phenylalanine diet, the symptoms can be managed effectively.

A. "Expect to wake your baby for all feedings." B. "Your baby will not need additional immunizations until the 1 or 2 month check-ups." C. "Your baby should gain full head control by 1 month." D. "Expect your baby to triple their birth weight by 4-6 months."

Correct Answer is B

Explanation

A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.

B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.

C. Full head control is generally achieved by around 4 months of age, not 1 month.

D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.

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A 17-year-old well-female has come to the clinic to get a rubella immunization that is required by the college she plans to attend. Before administering this immunization, the client should have which screening or test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The caregiver whose newborn was newly diagnosed with phenylketonuria (PKU) has questions about the disorder. Which statement made by the nurse is correct regarding PKU?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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