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","D","E"]

Explanation

A. Client 1, diagnosed with streptococcus pyogenes, commonly known as strep throat, is not typically a nationally notifiable condition unless it is part of an outbreak or has other public health implications or causes streptococcal toxic shock syndrome.
B. Elevated blood lead levels are reportable to local health departments due to the severe health risks, especially in children. Lead poisoning is a nationally notifiable noninfectious condition.
C. Herpes zoster (shingles) is not a nationally notifiable condition. It is a reactivation of the varicella-zoster virus, which causes chickenpox, but does not typically require reporting unless there is a significant outbreak or other public health concern.
D. Tuberculosis (TB) is a notifiable disease. The client's symptoms, positive Mantoux test, and travel history are indicative of active TB, which requires reporting to public health authorities for proper tracking and management.
E. Chlamydia is a reportable sexually transmitted infection (STI). Positive tests need to be reported to ensure public health measures can be taken to prevent the spread and provide treatment to affected individuals.

A. Establish a triage area. B. Contact the local health department. C. Notify the parents of the students. D. Administer oxygen therapy.

Correct Answer is A

Explanation

A. Establishing a triage area is the first step to manage and assess the situation systematically, ensuring that the most severe cases are identified and treated promptly.
B. Contacting the health department is important but not the first immediate action in a potential emergency.
C. Notifying parents is necessary but secondary to assessing and managing the students’ conditions.
D. Administering oxygen therapy may be necessary, but establishing a triage area allows the nurse to prioritize and manage resources effectively.

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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","D","E"]

Explanation

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Correct Answer is A

Explanation

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