A mother brings her 3-year-old child to the clinic for a well-child checkup. The child has not been to the clinic since 6 months of age. The nurse determines that which of the following is the priority care for this client?
Complete a hearing screening
Begin dental care
Update vaccinations
Assess growth and development
The Correct Answer is C
Rationale:
A. Hearing screening is important, but not the immediate priority in a child who has missed routine visits.
B. Dental care should begin early, but updating immunizations takes precedence to prevent serious communicable diseases.
C. Updating vaccinations is the priority because the child is significantly behind on the recommended immunization schedule, placing them at risk for preventable infections.
D. Growth and development assessment is essential but can be done after addressing the urgent need for immunization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
Rationale:
Ordered dose = 750 units/hr
Available concentration = 25,000 units in 250 mL
Set up a proportion:
25,000 units : 250 mL = 750 units : X mL
Cross multiply:
25,000 × X = 750 × 250
25,000X = 187,500
X = 187,500 ÷ 25,000 = 7.5 mL/hr
Correct Answer is B
Explanation
Rationale:
A. While cost may be discussed in certain settings, it is not the most important topic related to vaccine safety and effectiveness.
B. Informing parents about potential side effects (e.g., mild fever, soreness at the injection site) helps prepare them for what to expect and builds trust in the immunization process.
C. Although completing the schedule is important, discussing side effects is more immediate and relevant before administration.
D. Promoting alternatives to vaccination undermines evidence-based practice and is not appropriate for vaccine education.
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