A nurse at a health department is participating in an immunization clinic.
Which child should the nurse identify as requiring a modification in the standard immunization schedule?

A 4-month-old infant who has Down syndrome.

An 18-month-old toddler who has failure to thrive.

A 3-year-old toddler who has leukemia.

A 12-month-old infant who has sickle cell disease.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.

Choice B rationale

Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.

Choice C rationale

This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.

Choice D rationale

Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.

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Correct Answer is B

Explanation

Choice A rationale

Discussing the risks of being homeless with the client is an important part of understanding their situation, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice B rationale

This is the correct answer. Determining the client’s understanding of their living situation is the nurse’s initial action when caring for a client who is homeless. This helps the nurse to understand the client’s perspective and to tailor care to meet the client’s unique needs.

Choice C rationale

Assisting the client to develop goals for obtaining shelter is an important part of the care plan for a client who is homeless, but it is not the nurse’s initial action. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice D rationale

Developing client teaching using a variety of strategies is an important part of nursing care, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

A. Refer the client to a diabetes mellitus support group. B. Identify the client’s dietary preferences. C. Develop a nutritional program. D. Teach the client about appropriate food choices.

Correct Answer is B

Explanation

The correct answer is Choice B

Choice A rationale: Referring the client to a diabetes mellitus support group is beneficial but not the initial action. The nurse should first gather information about the client's preferences and needs to tailor the intervention effectively.

Choice B rationale: Identifying the client's dietary preferences is essential for developing a personalized nutritional plan. Understanding the client's likes, dislikes, and cultural factors ensures that dietary recommendations are realistic and sustainable, promoting better adherence and management of diabetes.

Choice C rationale: Developing a nutritional program is a crucial step but should follow the assessment of the client's dietary preferences. A personalized approach based on the client's individual needs and lifestyle is necessary for effective diabetes management.

Choice D rationale: Teaching the client about appropriate food choices is important but should be done after understanding the client's dietary preferences. This ensures that the education is relevant and practical, helping the client make informed decisions about their diet

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A nurse at a health department is participating in an immunization clinic.Which child should the nurse identify as requiring a modification in the standard immunization schedule?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

Correct Answer is B

Explanation

A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

Correct Answer is B

Explanation

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A nurse at a health department is participating in an immunization clinic.
Which child should the nurse identify as requiring a modification in the standard immunization schedule?