A nurse is planning care for an adolescent who has sickle cell anemia.
Which of the following immunization should the nurse include in the plan?
pneumococcal conjugate (PCV13)
Respiratory syncytial virus (RSV).
Measles, Mumps, and rubella MMR
Rotavirus.
The Correct Answer is A
Choice A rationale
The pneumococcal conjugate vaccine (PCV13) is recommended for children with sickle cell anemia. This is because individuals with sickle cell disease are at an increased risk of infection, and the PCV13 vaccine can help protect against Streptococcus pneumoniae, a bacterium that can cause serious infections like pneumonia and meningitis.
Choice B rationale
The Respiratory syncytial virus (RSV) vaccine is not typically included in the immunization schedule for children with sickle cell anemia.
Choice C rationale
While the Measles, Mumps, and Rubella (MMR) vaccine is part of the standard immunization schedule for all children, it is not specifically indicated for children with sickle cell anemia.
Choice D rationale
The Rotavirus vaccine is part of the standard immunization schedule for all infants, but it is not specifically indicated for children with sickle cell anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A toddler repeatedly refusing to let a nurse auscultate his lungs is not necessarily an indicator of child abuse. It could be due to fear, discomfort, or lack of understanding about the procedure.
Choice B rationale
An 8-month-old infant crying when his parents leave the room is a normal developmental behavior known as separation anxiety, and it is not an indicator of child abuse.
Choice C rationale
A mother hesitating to comfort her 6-month-old infant could be due to various reasons, including stress, depression, or lack of knowledge about infant care. While it could potentially be a sign of neglect, it is not a definitive indicator of child abuse.
Choice D rationale
A toddler having bruises on his knees is a common occurrence due to their active nature and frequent falls. However, if the bruises are frequent, unexplained, or have distinct patterns, they could be potential indicators of child abuse.
Correct Answer is C
Explanation
Choice A rationale
Pinpoint pupils are not a typical finding in an adolescent who has inhaled gasoline. Pinpoint pupils are more commonly associated with opioid use.
Choice B rationale
Hypothermia is not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.
Choice C rationale
Ataxia, or lack of muscle coordination, can occur after inhaling gasoline. The gasoline vapors can depress the central nervous system, leading to symptoms such as dizziness, confusion, and ataxia.
Choice D rationale
Hyperactive reflexes are not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.
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