A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer?
Rotavirus
Herpes zoster
Meningococcal conjugate
Pneumococcal polysaccharide
The Correct Answer is C
A. Rotavirus: The rotavirus vaccine is given orally to infants, with the series completed by 8 months of age. A 12-year-old would be well beyond the recommended age window for this immunization.
B. Herpes zoster: The herpes zoster (shingles) vaccine is recommended for adults, typically beginning at age 50 or older. It is not indicated for a 12-year-old child.
C. Meningococcal conjugate: The meningococcal conjugate vaccine is recommended for adolescents around 11–12 years of age, with a booster at 16 years. This protects against meningococcal disease, making it the appropriate immunization for this client.
D. Pneumococcal polysaccharide: The pneumococcal polysaccharide vaccine is generally given to adults over 65 or individuals with certain high-risk conditions. It is not routinely administered to healthy 12-year-olds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. B complex: The B vitamins are water-soluble and play roles in energy metabolism, nerve function, and red blood cell production. They are not directly linked to vision or night blindness.
B. A (retinol): Vitamin A is essential for the production of rhodopsin, a pigment in the retina that allows for vision in low-light conditions. Deficiency leads to night blindness and, if prolonged, can cause more severe eye damage such as xerophthalmia.
C. D: Vitamin D is important for calcium absorption and bone health. Deficiency results in rickets in children and osteomalacia in adults, but it does not cause difficulty with night vision.
D. K: Vitamin K plays a crucial role in blood clotting and bone health. Its deficiency leads to impaired coagulation and increased bleeding risk, not visual disturbances or night blindness.
Correct Answer is C
Explanation
A. A client who has glucose in his urine: Glucosuria indicates uncontrolled blood glucose levels, often seen in diabetes mellitus. It is not a manifestation of urinary retention, which relates to incomplete bladder emptying.
B. A client who has an elevated BUN: An elevated blood urea nitrogen level reflects impaired kidney function or dehydration. While urinary retention can eventually contribute to kidney damage, BUN alone does not specifically indicate retention.
C. A client who reports urinary frequency: Frequent urination in small amounts is a classic sign of urinary retention. The bladder remains incompletely emptied, so the urge to void recurs often despite inadequate relief.
D. A client who reports painful urination: Painful urination (dysuria) is more commonly associated with urinary tract infections or bladder inflammation. It is not a primary manifestation of urinary retention.
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