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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Contacting the healthcare provider to clarify the prescription is essential to ensure the correct dosage for the child. It allows for immediate resolution and prevents potential harm from an incorrect dosage.
B. Requesting verification from the charge nurse might be helpful but doesn’t address the issue of the potentially incorrect prescription dosage.
C. Instructing the pharmacy to send an accurate child's dosage is a good step after clarification but doesn't address the immediate concern of the potentially incorrect prescription.
D. Asking another nurse about the administration of adult dosages to children is relevant, but the immediate action should be clarifying the prescription directly with the healthcare provider.

A. Document the appearance of the wound as inflamed. B. Report the appearance of the dressing to the charge nurse. C. C Compress the drainage device before closing the tab. D. Clamp the drainage tubing for the next four hours.

Correct Answer is ["B","C"]

Explanation

A. The wound is not inflamed, but rather discharging excessively. The PN should document the amount and color of the drainage, the size and location of the wound, and any signs of infection or complications.
B. The dressing needs to be changed as soon as possible to prevent infection and further blood loss. The charge nurse can also assess the need for additional interventions, such as suturing, hemostasis, or transfusion.
C. Compressing the device creates a vacuum that helps drain the fluid from the wound. The PN should squeeze the device until it is about half full, then close the tab securely.
D. Clamping the tubing can cause a backup of fluid in the wound, which can increase the risk of infection and impair healing. The PN should never clamp the tubing unless instructed by the provider.
E. Removing the device can cause more bleeding and disrupt the healing process. The PN should only remove the device when ordered by the provider or when it is no longer needed.

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A mother asks the practical nurse (PN) about the immunization schedule for whooping cough. Which is the recommended schedule that the PN should convey?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Correct Answer is A

Explanation

The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow-up actions should the PN implement? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

The practical nurse (PN) observes a client's mouth and lips as seen in the picture. Which follow-up action is most important for the PN to take?