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.
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Related Questions
Correct Answer is D
Explanation
A. The medication (erythromycin) is clearly identified in the prescription, so no clarification is needed regarding the drug name itself. B. The dosage (500 mg) is specified in the order, which is a standard dose for this medication, so it does not require clarification. C. The time or frequency is provided as “four times per day.” While specific facility times may need to be assigned, the frequency of administration is clearly established in the order. D. The route is entirely missing from the prescription. Erythromycin can be administered via several different routes, such as orally or intravenously, and the nurse cannot assume the intended method. This is a critical omission that must be clarified for safe transcription.
Correct Answer is C
Explanation
A. Make sure the crib mattress is soft.: A soft mattress is a suffocation hazard for an infant. It is recommended to use a firm mattress to reduce the risk of sudden infant death syndrome (SIDS).
B. Start using a highchair for feedings.: At 3 months of age, most infants are not developmentally ready to sit in a highchair. Feeding typically occurs while the infant is held or propped in a reclined position. Highchairs are usually introduced later, around 6 months of age, when the infant has better head and neck control.
C. Remove bibs when the infant is going to sleep.: Bibs and other items that could potentially obstruct the infant's airway should be removed before sleep to reduce the risk of suffocation. This is an important safety measure to ensure the infant's safety while sleeping.
D. Place no more than one small pillow in the crib.: Pillows should not be placed in the crib for infants, as they present a suffocation hazard. It is recommended to keep the crib free from any soft bedding, including pillows and blankets, to promote safe sleep.
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