A nurse is planning care for an adolescent who has sickle cell anemia which of the following immunizations should the nurse include in the plan?

Rotavirus

Pneumococcal conjugate (PCV)

Measles, mumps and rubelle (MMR)

Respiratory syncytial virus (RSV)

Answer and Explanation

The Correct Answer is B

A. Rotavirus vaccine is not typically indicated for adolescents. It is usually administered to infants.

B. Correct. Adolescents with sickle cell anemia are at increased risk for infections,

including those caused by Streptococcus pneumoniae. The pneumococcal conjugate vaccine (PCV) helps protect against certain types of pneumococcal bacteria.

C. The MMR vaccine provides immunity against measles, mumps, and rubella, but it is not specifically indicated for adolescents with sickle cell anemia. They should receive
this vaccine as recommended for their age group.

D. The RSV vaccine is primarily recommended for infants and young children at high risk for severe respiratory syncytial virus (RSV) infection. It is not typically indicated for adolescents with sickle cell anemia.

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Correct Answer is D

Explanation

A. WBC count 15,000/mm3 is elevated, which may indicate ongoing leukemia activity. It does not necessarily indicate a therapeutic effect.

B. RBC count 5/mm3 is extremely low and indicates severe anemia. This finding suggests that the treatment may not be having the desired therapeutic effect.

C. Hemoglobin 6.8 g/dL is very low and indicates severe anemia. This is a concerning finding and suggests that the treatment may not be effective.

D. This is the correct answer. A platelet count of 98,000/mm3 is within a range that is generally considered acceptable for a child receiving treatment for leukemia. While it is lower than normal, it is not severely low and suggests that the treatment may be having a therapeutic effect.

A. Apply warming blankets. B. Administer an IV bolus. C. Assist with intubation. D. Obtain an ABG sample.

Correct Answer is C

Explanation

A. Applying warming blankets is important for maintaining the child's body temperature, but it is not the top priority in this situation.

B. Administering an IV bolus may be necessary, but it is not the priority action. The child's airway and breathing take precedence.

C. This is the correct action. In cases of submersion injury, there is a risk of respiratory distress or failure due to aspiration of water. Assisting with intubation helps ensure a patent airway and adequate oxygenation.

D. Obtaining an arterial blood gas (ABG) sample is an important assessment, but it is not the top priority. Ensuring a patent airway and providing adequate oxygenation come first.

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A nurse is planning care for an adolescent who has sickle cell anemia which of the following immunizations should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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