A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant.
The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?
Varicella.
Rotavirus.
Influenza.
Hepatitis A.
The Correct Answer is B
Choice A rationale:
Varicella vaccine is typically administered to children at the age of 1 year, not at 2 months. The first dose of varicella vaccine is usually given at 12-15 months of age, with a second dose recommended at 4-6 years of age.
Choice B rationale:
Rotavirus vaccine is recommended to be administered to infants at the age of 2 months. It is an oral vaccine that protects against rotavirus infections, a common cause of severe diarrhea and dehydration in infants and young children.
Choice C rationale:
Influenza vaccine is not typically administered to infants at 2 months of age. Influenza vaccination is recommended annually for children older than 6 months.
Choice D rationale:
Hepatitis A vaccine is not routinely given at 2 months of age. Hepatitis A vaccination is typically recommended starting at 1 year of age, with a second dose administered 6-18 months later.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Urine culture: This will help identify the presence of any urinary tract infection (UTI) causing discomfort and burning during urination.
B. Ibuprofen 600 mg every 6 hr for mild to moderate pain: While ibuprofen can help with pain relief, it does not address the potential underlying urinary tract infection, so it's important to address the infection first.
C. Obtain provider prescription for phenazopyridine: Phenazopyridine is a urinary analgesic that can provide relief from the pain and discomfort associated with UTIs.
D. Vaginal culture: The client's symptoms are related to discomfort and burning upon urination, suggesting a urinary tract issue rather than a vaginal issue. Therefore, a vaginal culture may not be relevant in this context.
E. Obtain provider prescription for antibiotics: If a urinary tract infection is suspected based on the client's symptoms and urine culture results, antibiotics may be needed to treat the infection.
Correct Answer is ["serotonin syndrome","selective serotonin reuptake inhibitors (SSRIs)"]
Explanation
The client's history of taking fluoxetine (a selective serotonin reuptake inhibitor, or SSRI) and then switching to paroxetine (another SSRI) can increase the risk of serotonin syndrome. Serotonin syndrome occurs when there is an excess of serotonin in the body, which can lead to symptoms such as agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, muscle rigidity, and potentially life-threatening complications. Switching between or combining different SSRIs can elevate serotonin levels and trigger this syndrome. It is important for healthcare providers to monitor for signs of serotonin syndrome when changing or starting antidepressant medications, especially if they belong to the same class.
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