A nurse is assessing a 6-month-old infant during a well-child visit. The mother asks the nurse, "My child was born at 34 weeks. When should he receive his first dose of the measles, mumps, rubella vaccine?" Which of the following statements should the nurse make?

"Your child may receive that immunization at 12 months."

"Your child will need to wait until he is older than 18 months since he was born early."

"Your child may receive that immunization at today's visit."

"Your child received that immunization when he was in the hospital."

Answer and Explanation

The Correct Answer is A

A. "Your child may receive that immunization at 12 months." The MMR vaccine is recommended at 12 to 15 months of age, regardless of prematurity, as long as the child is healthy. By that time, the immune system is mature enough to respond effectively to the live attenuated vaccine.

B. "Your child will need to wait until he is older than 18 months since he was born early." Prematurity does not delay the MMR vaccination beyond the standard schedule. Delaying until after 18 months is unnecessary unless the infant has specific health concerns.

C. "Your child may receive that immunization at today's visit." At 6 months, the infant is too young for the routine MMR vaccine. While early administration may be considered in outbreak settings, it does not replace the routine first dose recommended at 12 months.

D. "Your child received that immunization when he was in the hospital." The MMR vaccine is not given in the neonatal period or during NICU stays. Live vaccines like MMR are delayed until the child is at least 12 months old and immunologically ready.

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Correct Answer is A

Explanation

A. Zolpidem 10 mg PO HS:This is the correct and acceptable documentation format. It includes the full drug name, dosage, route, and timing abbreviation ("HS" for bedtime), all of which are permitted and clear in medical documentation.

B. Heparin 10,000 u subcutaneously TID:The abbreviation "u" for units is considered unsafe and prone to misreading (e.g., as a zero). Instead, "units" should be written out to prevent medication errors.

C. Docusate 100 mg PO QD:"QD" is a dangerous abbreviation that can be misread as "QID" (four times daily). The Joint Commission recommends writing "daily" instead to ensure clarity and patient safety.

D. Lorazepam 2 mg PO BID:While mostly acceptable, using "BID" can be risky because it may be misinterpreted. Current best practices encourage writing "twice daily" to reduce ambiguity in documentation.

A. "I will take this medication on an empty stomach." B. "I will take a walk every day." C. "I will reduce my dosage during times of stress." D. "I will use aspirin as needed for pain.

Correct Answer is B

Explanation

A. "I will take this medication on an empty stomach." Taking prednisone on an empty stomach increases the risk of gastrointestinal irritation or ulcers. It should be taken with food or milk to help protect the stomach lining.

B. "I will take a walk every day." Daily weight-bearing exercise helps reduce prednisone’s adverse effects, such as bone loss and muscle weakness. Regular physical activity also supports mood, metabolism, and cardiovascular health.

C. "I will reduce my dosage during times of stress." The dosage of prednisone should never be reduced during stress; in fact, stress often increases the body’s need for corticosteroids. Dosage adjustments should only be made by the healthcare provider.

D. "I will use aspirin as needed for pain." Using aspirin with prednisone increases the risk of gastrointestinal bleeding and ulcer formation. Alternative pain relief methods, such as acetaminophen, are safer unless contraindicated.

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A nurse is assessing a 6-month-old infant during a well-child visit. The mother asks the nurse, "My child was born at 34 weeks. When should he receive his first dose of the measles, mumps, rubella vaccine?" Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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