A mother asks the practical nurse (PN) about the immunization schedule for whooping cough. Which is the recommended schedule that the PN should convey?
Birth, 2 months, 12 months and boosters every 7 to 10 years.
1,6,9 months, and boosters at 12 months of age and before entering school.
1 year of age, 6 years of age, and with each exposure.
2.4.6 months, and boosters at 15 to 18 months and 4 to 6 years of age.
The Correct Answer is D
A. Birth, 2 months, 12 months, and boosters every 7 to 10 years. - This schedule doesn't align with the typical whooping cough vaccination schedule.
B. 1, 6, 9 months, and boosters at 12 months of age and before entering school. - This schedule doesn't match the typical whooping cough vaccination schedule.
C. 1 year of age, 6 years of age, and with each exposure. - This schedule doesn't align with the standard vaccination recommendations for whooping cough.
D. 2, 4, 6 months, and boosters at 15 to 18 months and 4 to 6 years of age. - This schedule aligns with the recommended vaccination schedule for whooping cough by the CDC, providing primary vaccinations at 2, 4, and 6 months and booster doses later in childhood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Measure head circumference daily. - Monitoring head circumference is crucial to detect changes that might indicate increased intracranial pressure after the shunt placement.
B. Document strict intake and output. - Monitoring fluid intake and output helps assess the infant's hydration status and shunt functionality.
C. Irrigate shunt and pump valve every 12-hours. - Shunt irrigation should be performed by specialized healthcare professionals, not typically by a practical nurse.
D. Monitor body temperature every 4 hours. - Postoperative monitoring includes assessing for signs of infection or systemic changes, which might be indicated by changes in body temperature.
E. Place in Trendelenburg position. - The Trendelenburg position is not typically recommended post-ventriculoperitoneal shunt placement and should be avoided unless specifically prescribed by the healthcare provider.
Correct Answer is C
Explanation
A. Evaluating a client's understanding of discharge instructions typically requires a nursing assessment and explanation, more suitable for a licensed nurse.
B. Encouraging fluid intake might involve assessing the client's condition and providing specific advice, which aligns more with the responsibilities of a licensed nurse.
C. Measuring urinary output is a task that falls within the scope of practice for unlicensed assistive personnel (UAP), as it involves routine data collection and does not require clinical judgment.
D. Checking a client's femoral dressing after a cardiac catheterization requires observation for signs of bleeding, which involves assessment and potential interventions beyond the UAP's scope of practice.
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