A nurse in a family practice office routinely reviews clients' immunization status at their annual physical examination visits. For which of the following clients should the nurse recommend a human papillomavirus immunization?
A teenage boy
An older adult woman
A preschool-age girl
A middle adult man
The Correct Answer is A
A. A teenage boy is the correct answer. The HPV vaccine is recommended for males and females starting at age 11 or 12, but it is most effective when given before any sexual activity. The vaccine can be administered through age 26 for individuals who were not vaccinated at the appropriate age.
B. An older adult woman is not typically recommended for the HPV vaccine. The vaccine is most effective when given before exposure to the virus, typically in preadolescent girls and boys. Women over the age of 26 may not benefit as much from the vaccine.
C. A preschool-age girl is unlikely to receive the HPV vaccine at this age, as it is usually given starting at age 11 or 12, ideally before the onset of sexual activity.
D. A middle adult man may still receive the HPV vaccine if not previously vaccinated, but it is primarily recommended for individuals under age 26.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Assign the task to another AP" is not the best first response. The nurse should first understand why the AP is refusing the task and address any concerns before reassigning the task.
B. "Report the AP to the risk manager" is premature. The nurse should first attempt to understand the AP’s reasons for refusal and resolve any concerns directly. Reporting should only occur if the issue persists and cannot be resolved.
C. "Discuss the AP's concerns about performing the task" is correct. The nurse should open a dialogue with the AP to understand why they are refusing the task. This allows the nurse to assess if the refusal is due to lack of knowledge, skill, or comfort, and then provide the necessary support, guidance, or training.
D. "Perform the task on behalf of the AP" is not ideal. The nurse should not assume the task but rather address the issue with the AP. The nurse should only intervene if the task needs to be completed urgently, but the first step should be to explore the reasons for refusal.
Correct Answer is A
Explanation
A. Drying hands thoroughly from fingers to wrist is correct. Proper drying technique is important because residual moisture can harbor bacteria, and drying from fingers to wrist prevents recontamination of clean areas by water dripping from contaminated areas.
B. Holding hands slightly higher than the elbows when using running water is incorrect. The proper technique is to hold hands lower than the elbows to allow water to flow downward, preventing recontamination of clean areas by dirty water.
C. Washing hands under running water for at least 10 seconds is incorrect. The recommended duration for effective handwashing is at least 20 seconds with soap and water to ensure the removal of pathogens.
D. Cleaning hands with alcohol-based hand gel for 16 seconds is incorrect. The recommended time for using alcohol-based hand rubs is at least 20 seconds, ensuring thorough coverage of all surfaces for effective pathogen removal.
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