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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A website that provides a peer-review process for publishing information is likely to offer reliable and accurate content. This is crucial when selecting resources for a client undergoing dialysis.
Choice B rationale
A website that is updated every 5 years may not provide the most current and relevant information. In the field of healthcare, information and best practices can change rapidly.
Choice C rationale
A website hosted by a dialysis equipment marketing group may have a commercial bias, which could affect the objectivity and reliability of the information provided.
Choice D rationale
A website sponsored by a health care political action committee may focus more on policy and advocacy issues rather than providing comprehensive, unbiased health information.
Correct Answer is C
Explanation
Choice A rationale
The Local Red Cross chapter is not responsible for reporting cases of Lyme disease to the CDC. The Red Cross is primarily involved in disaster response, blood donation, health and safety training and education, and support to military families.
Choice B rationale
The Hospital infection control department is not responsible for reporting cases of Lyme disease to the CDC. While hospital infection control departments play a crucial role in preventing and controlling infections within healthcare settings, they do not typically report cases of diseases like Lyme disease to national public health agencies.
Choice C rationale
The State health department is responsible for reporting cases of Lyme disease to the CDC. Reports of Lyme disease are routinely collected and verified by state and local health departments in accordance with their legal mandate and surveillance practices. After removal of personal identifiers, selected information on cases is shared with the CDC through the National Notifiable Diseases Surveillance System (NNDSS)4.
Choice D rationale
The Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and coordination of U.S. Public Health Service commissioned corps and communicates the best available scientific information to advance the health of the nation.
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