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?
Measles, mumps, and rubella (MMR)
Respiratory syncytial virus (RSV)
Pneumococcal conjugate (PCV13)
Rotavirus
The Correct Answer is C
Choice A Reason:
Measles, mumps, and rubella (MMR) vaccine is important for general immunity, but it might not be specifically emphasized for an adolescent with sickle cell anemia unless they have missed these vaccinations previously.
Choice B Reason:
Respiratory syncytial virus (RSV) vaccine is often recommended for infants at high risk for severe RSV infection but may not be a primary concern for an adolescent with sickle cell anemia.
Choice C Reason:
Pneumococcal conjugate (PCV13) would be an important immunization to include in the plan for an adolescent with sickle cell anemia. Sickle cell disease increases the risk of infections, particularly with encapsulated bacteria like Streptococcus pneumoniae, which the PCV13 vaccine covers. This immunization helps prevent pneumonia, meningitis, and other invasive pneumococcal diseases.
Choice D Reason:
Rotavirus vaccine is typically administered in infancy and might not be relevant for an adolescent population.
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Related Questions
Correct Answer is ["5"]
Explanation
The dosage is 80 mg/kg/day, and the child weighs 10 kg.
80 mg/kg/day * 10 kg = 800 mg/day
Since this is divided into two doses per day:
800 mg/day ÷ 2 doses = 400 mg per dose
Now, let's determine the amount of amoxicillin suspension needed for each dose:
The amoxicillin suspension is 400 mg per 5 mL.
400 mg per dose ÷ 400 mg per 5 mL = 5 mL per dose
Therefore, the nurse should administer 5 mL of amoxicillin suspension per dose to the 2-year-old client weighing 10 kg.
Correct Answer is A
Explanation
A. "Check the pH of the gastric secretions."Checking the pH of the gastric secretions is crucial to confirm that the NG tube is correctly positioned in the stomach. This helps ensure that the tube is in the right place before administering the feeding, thereby reducing the risk of complications such as aspiration.
B. "Attach the feeding bag tubing to the end of the NG tube."Attaching the feeding bag tubing should be done after verifying the tube's placement and ensuring it is in the stomach. This step is important, but it follows confirmation of correct tube placement.
C. "Flush the tube with water."Flushing the tube with water is important to ensure patency and prepare the tube for feeding. However, this should only be done after confirming the tube's placement.
D. "Set the administration rate on the feeding pump."Setting the administration rate is necessary for administering the feeding but should be done after confirming tube placement and preparing the tube.
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