A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?
Haemophilus Influenza Type B (HIB) Vaccine and TDAP
Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV)
DTAP and Varicella Vaccine
Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine)
The Correct Answer is D
A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP. HIB vaccine reduces the incidence of meningitis caused by Haemophilus influenzae, but TDAP does not target pathogens responsible for meningitis.
B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV). IPV prevents polio but has no impact on meningitis incidence. PCV is correct for preventing Streptococcus pneumoniae meningitis.
C. DTAP and Varicella Vaccine. DTAP does not prevent bacterial meningitis, and varicella vaccine prevents chickenpox, not meningitis.
D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine). These vaccines directly prevent bacterial meningitis caused by Streptococcus pneumoniae and Haemophilus influenzae, which were previously leading causes of meningitis in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 2 to 3 weeks: The incubation period for varicella is typically 10 to 21 days, or 2 to 3 weeks.
B. 7 to 10 days: This is shorter than the actual incubation period for varicella.
C. 3 to 4 weeks: This exceeds the typical maximum incubation period of 21 days.
D. 2 to 5 days: This is significantly shorter than the typical incubation period for varicella.
Correct Answer is ["A","C","E"]
Explanation
A. Febrile episode: Fever is a common trigger for febrile seizures in children, especially between 6 months and 5 years.
B. Low blood lead levels: Elevated, not low, blood lead levels can increase the risk of seizures due to neurotoxicity.
C. Sodium imbalance: Both hyponatremia and hypernatremia can cause seizures by disrupting neuronal function.
D. Presence of diphtheria: Diphtheria does not directly increase the risk of seizures. Neurological complications are rare and secondary.
E. Hypoglycemia: Low blood sugar levels deprive the brain of energy, which can lead to seizures.
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