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A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

“It is important to follow the vaccination schedule as designed to protect children when they are most vulnerable, and their immune system is still developing.”

“The vaccination schedule is only a recommendation; if you do not feel comfortable giving the vaccinations now, then it is fine to wait”

“The vaccine schedule is only a recommendation, it is fine to postpone the vaccinations as long as the child is fully vaccinated prior to starting school."

"Adhering to the vaccination schedule is extremely important if you do not agree to get the vaccinations as recommended, you will be putting your child at risk for serious illness and death.”

Answer and Explanation

The Correct Answer is A

The most appropriate response by the nurse emphasizes the importance of following the vaccination schedule to ensure the child's protection, particularly during a period when they are most vulnerable to serious illnesses. This response also highlights the significance of vaccination in safeguarding public health through herd immunity.

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Correct Answer is D

Explanation

Nursing advocacy involves advocating for the rights and well-being of the client. Ensuring that the client has given informed consent for care aligns with this principle. Informed consent involves providing the client with all necessary information about their treatment options, risks, benefits, and alternatives so they can make an informed decision about their care. This empowers the client to actively participate in their healthcare decisions, which is a key aspect of nursing advocacy.

A. The child should be immunized prior to coming to school. B. The child should wear a mask to school C. The child should be taken to the hospital if they develop difficulty breathing D. The child should be tested to determine the cause of their illness.

Correct Answer is D

Explanation

Secondary prevention involves detecting and treating a disease or condition in its early stages to prevent complications. In the context of suspected COVID-19 (caused by SARS-CoV-2), testing the child to determine the cause of their illness is a key step in secondary prevention. By identifying cases early through testing, appropriate measures can be taken to prevent further spread of the virus, such as isolation and contact tracing.

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A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

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Naxlex Comprehensive Predictor Exams

A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?

Correct Answer is D

Explanation

A school nurse receives a telephone call from a parent who suspects their school-age child may have coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?

Correct Answer is D

Explanation

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