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

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

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

A 3-year-old toddler who has leukemia

Answer and Explanation

The Correct Answer is D

A. A 4-month-old infant who has Down syndrome - Down syndrome itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.

B. An 18-month-old toddler who has failure to thrive - Failure to thrive, without specific contraindications, does not usually require alterations in the standard immunization schedule. Immunizations are generally administered based on chronological age.

C. A 12-month-old infant who has sickle cell disease - Sickle cell disease itself is not a contraindication for altering the standard immunization schedule. Immunizations are typically administered based on chronological age.

D. A 3-year-old toddler who has leukemia - Children with leukemia may have altered immune function due to their medical condition and treatment. In such cases, the immunization schedule may need to be adjusted based on the child's specific health status, following consultation with the healthcare provider.

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Correct Answer is D

Explanation

A. "Palliative care will help to postpone my death."

Palliative care is not aimed at curing the underlying disease but rather at enhancing the overall well-being of the individual. While it may alleviate symptoms and improve quality of life, its goal is not to postpone death.

B. "Palliative care is reserved for end of life."

Palliative care is not exclusively for end-of-life situations. It can be provided at any stage of a serious illness, alongside curative treatments.

C. "Palliative care services end for my family upon my death."

Palliative care may extend support to the family even after the individual's death, providing bereavement and grief support services. The statement is not entirely accurate regarding the cessation of all services for the family upon the client's death.

D. "Palliative care aims to improve my quality of life."

Palliative care focuses on improving the quality of life for individuals facing serious, life-limiting illnesses. It addresses physical, emotional, and spiritual needs, aiming to provide comfort and support.

A. "If I choose palliative care, I can only go to the hospital if I stop breathing." B. "I need to stop treatments for my cancer before beginning palliative care." C. "If my oncologist recommends palliative care, it means that have about 6 months or less to live." D. "The purpose of palliative care is to provide comfort measures for cancer."

Correct Answer is D

Explanation

A. "If I choose palliative care, I can only go to the hospital if I stop breathing."

This statement is not accurate. Palliative care can be provided in various settings, including hospitals, and it does not mean the client can only receive care if in a life-threatening situation.

B. "I need to stop treatments for my cancer before beginning palliative care."

Palliative care can be integrated with ongoing curative treatments. It does not require the cessation of cancer treatments.

C. "If my oncologist recommends palliative care, it means that I have about 6 months or less to live."

Palliative care is not synonymous with hospice care, which typically involves end-of-life care for individuals with a prognosis of 6 months or less. Palliative care is appropriate at any stage of a serious illness and can be provided alongside treatments aimed at curing or controlling the disease.

D. "The purpose of palliative care is to provide comfort measures for cancer."

Palliative care focuses on providing relief from the symptoms and stress of a serious illness, such as cancer. It is not limited to end-of-life care and can be initiated alongside curative treatments.

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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

A nurse is caring for a client who has terminal cancer and has decided to be discharged and receive palliative care at home. Which of the following statements made by the client indicates an understanding of palliative care management?

Correct Answer is D

Explanation

A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?

Correct Answer is D

Explanation

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?

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