A nurse is caring for a toddler who has von Willebrand disease. The toddler's parents are concerned about the bleeding risk with vaccinations. Which of the following is accurate information the nurse should share with the parents?
Toddlers with bleeding disorders should only receive one vaccine at a time due to the risk of bleeding at injection site.
Toddlers with von Willebrand disease should only receive vaccines available as nasal sprays to avoid bleeding from intramuscular injections.
Toddlers with bleeding disorders are encouraged to stay up-to-date on vaccinations. The benefit of vaccinations outweighs the risk of bleeding.
Toddlers with bleeding disorders should not receive any vaccinations, because the risk of bleeding outweighs the benefit of the vaccinations.
The Correct Answer is C
A. Toddlers with bleeding disorders should only receive one vaccine at a time due to the risk of bleeding at injection site: While spacing vaccines is not necessary solely for bleeding risk, precautions such as using smaller needles, applying firm pressure after injection, and choosing appropriate injection sites are recommended. Receiving multiple vaccines is generally safe.
B. Toddlers with von Willebrand disease should only receive vaccines available as nasal sprays to avoid bleeding from intramuscular injections: Nasal vaccines are limited in availability and type. Intramuscular vaccines can still be safely administered with proper technique and post-injection pressure, making this recommendation unnecessary and restrictive.
C. Toddlers with bleeding disorders are encouraged to stay up-to-date on vaccinations. The benefit of vaccinations outweighs the risk of bleeding: Maintaining the routine vaccination schedule protects children with bleeding disorders from serious infections. With proper precautions, the risk of bleeding at injection sites is minimal and manageable.
D. Toddlers with bleeding disorders should not receive any vaccinations, because the risk of bleeding outweighs the benefit of the vaccinations: Avoiding vaccines exposes the child to preventable infectious diseases. Careful technique and monitoring allow safe vaccination without withholding protection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dismiss suspicions since the nurse is not able to assist victims of human trafficking: Ignoring potential signs of human trafficking can place the adolescent at continued risk and fails to meet the nurse’s ethical and legal responsibilities to protect vulnerable patients.
B. Avoid conversations or questions that may upset the adolescent or the accompanying person: Avoiding inquiry prevents the nurse from gathering critical information to identify and protect the adolescent from harm. Sensitive, trauma-informed questioning is essential.
C. Contact the appropriate hospital and law enforcement resources and follow organizational protocols: Following institutional protocols and notifying designated authorities ensures the adolescent receives protection, proper assessment, and support services, while maintaining safety and legal compliance.
D. Confront the person accompanying the adolescent: Direct confrontation can escalate danger, compromise the adolescent’s safety, and interfere with investigation. Professional protocols and law enforcement involvement are safer and more effective.
Correct Answer is A
Explanation
A. Fever: In the acute phase of HIV, the virus is rapidly replicating, and the body mounts an immune response. Fever is a common early symptom reflecting viral infection and immune system activation. Monitoring for fever helps detect the body’s response and any concurrent infections.
B. Pneumonia: Opportunistic infections such as pneumonia are more common during the chronic or advanced stages of HIV when immune suppression is significant. In the acute phase, the immune system is usually still able to prevent severe infections.
C. Kaposi's sarcoma: Kaposi’s sarcoma is an opportunistic malignancy associated with advanced HIV/AIDS, not typically seen during the acute phase of infection in children.
D. AIDS: AIDS is the progression of HIV to a severely immunocompromised state. During the acute phase, the child has primary HIV infection, and the diagnosis of AIDS has not yet been established.
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