A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

A 4-month-old infant who has Down syndrome

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

A 3-year-old toddler who has leukemia

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

Answer and Explanation

The Correct Answer is C

A. Down syndrome alone does not typically require alterations in the standard immunization schedule.
B. Sickle cell disease does not typically necessitate alterations in the standard immunization schedule.
C. Children with leukemia often have altered immune function and may require modifications to the immunization schedule based on their treatment plan.
D. Failure to thrive alone does not typically necessitate alterations in the standard immunization schedule.

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Correct Answer is B

Explanation

A. Ensuring client adherence to medication is crucial for treatment but does not directly prevent community spread.
B. Reporting active cases to the public health department is essential for contact tracing and preventing further transmission.
C. Community education is important but is secondary to immediate reporting and contact tracing.
D. Screenings are important but are typically targeted based on exposure risk identified through contact tracing.

A. Substance abuse prevention B. Gun safety C. Sports injury prevention D. Motor vehicle safety

Correct Answer is D

Explanation

A. Substance abuse is a significant concern but not the leading cause of death in adolescents.
B. Gun safety is important but does not top motor vehicle accidents as a cause of death in this age group.
C. Sports injuries are common but do not surpass motor vehicle accidents in mortality.
D. Motor vehicle accidents are the leading cause of death among adolescents, making it a priority for safety education.

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A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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