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. Initiate topics of conversation that avoid the client's health status.

Explanation: Avoiding discussions about the client's health status may hinder open communication and the expression of the client's feelings and concerns. It is essential to provide an opportunity for the client to discuss their thoughts and emotions if they wish to do so.

B. Recommend the client seek out hospice services rather than seek treatment.

Explanation: While hospice services may be appropriate for end-stage cancer care, recommending hospice should be based on a comprehensive assessment of the client's wishes and needs. The decision to pursue treatment or hospice is a personal one, and the nurse should support the client's choices after thorough discussion.

C. Place the client's name and medical condition on an online prayer chain.

Explanation: Privacy and confidentiality are critical in healthcare. Sharing the client's name and medical condition on an online platform may compromise confidentiality. It's essential to respect the client's privacy and obtain their consent before sharing personal information.

D. Provide quiet time during visits for prayer or meditation.

Explanation: Providing quiet time during visits for prayer or meditation recognizes the spiritual and emotional needs of the client. It allows the client to engage in activities that bring comfort, peace, and reflection. Creating a supportive and contemplative environment aligns with the holistic care approach, acknowledging the importance of spiritual well-being during the end-of-life journey.

A. I will receive care from a variety of interprofessional team members." B. I will need to have private insurance because Medicare does not cover hospice services." C. "My provider will recommend that I enter hospice care when I have 1 year left to live." D. I can receive care in the hospital or at home." E. "I can discontinue hospice care whenever I want."

Correct Answer is ["A","D","E"]

Explanation

A. "I will receive care from a variety of interprofessional team members."

This statement is correct. Hospice care typically involves a team of healthcare professionals, including nurses, doctors, social workers, and other specialists, working together to address the physical, emotional, and spiritual needs of the patient.

B. "I will need to have private insurance because Medicare does not cover hospice services."

This statement is incorrect. Hospice services are typically covered by Medicare, Medicaid, and most private insurance plans. Patients and families should check their specific coverage, but in general, hospice services are covered by various insurance providers.

C. "My provider will recommend that I enter hospice care when I have 1 year left to live."

This statement is incorrect. The specific time frame for entering hospice care is not solely based on having one year left to live. Hospice care is generally appropriate for individuals with a prognosis of six months or less, but it depends on the patient's specific clinical condition and needs. The decision to enter hospice is based on the patient's overall health status, not a specific timeline.

D. "I can receive care in the hospital or at home."

This statement is correct. Hospice care can be provided in various settings, including the patient's home, nursing homes, or hospice facilities. The goal is to provide comfort and support wherever the patient feels most comfortable.

E. "I can discontinue hospice care whenever I want."

This statement is correct. Hospice care is based on the patient's choice, and they have the right to discontinue hospice care at any time. It's important for patients to have autonomy and make decisions that align with their preferences and values.

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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

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Correct Answer is D

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Explanation

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