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

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A Reason:

Constipation is incorrect. While bowel obstruction might occur due to the nature of intussusception, it usually presents with a different pattern of symptoms such as sudden, severe abdominal pain, vomiting, and sometimes, passing of "currant jelly" stool, which is a mixture of blood and mucus.

Choice B Reason:

Sausage-shaped abdominal mass is correct. This type of abdominal mass might be palpable during the assessment. It's a classic sign associated with intussusception. The mass can often feel like a sausage-shaped or tubular lump in the abdomen.

Choice C Reason:

Board-like abdomen is incorrect. A board-like abdomen with rigidity is a sign more commonly associated with conditions like peritonitis, which involves inflammation or infection of the abdominal lining, but it's not typically seen in intussusception.

Choice D Reason:

Increased urinary output is incorrect. Intussusception doesn't directly cause increased urinary output. This finding is less likely to be associated with this specific condition.

A. Continuous swallowing B. Heart rate 54/min C. Blood pressure 95/56 mm Hg D. Flushing of the face

Correct Answer is A

Explanation

Choice A Reason:

Continuous swallowing is correct. Continuous swallowing can be an indication of postoperative bleeding after a tonsillectomy and adenoidectomy. Increased swallowing may suggest blood trickling down the throat, prompting the child to swallow frequently. It's an important sign to observe for and could indicate a risk of hemorrhage.

Choice B Reason:

Heart rate 54/min. While a low heart rate (bradycardia) might be a concern in some cases, it's not a typical sign of hemorrhage after this specific surgery.

Choice C Reason:

Blood pressure 95/56 mm Hg. While a drop-in blood pressure could be concerning for hemorrhage, this blood pressure reading alone may not necessarily indicate postoperative bleeding. Monitoring trends and other signs are important for a comprehensive assessment.

Choice D Reason:

Flushing of the face. Facial flushing is not typically associated with hemorrhage after a tonsillectomy and adenoidectomy. It might be related to other factors but is not a specific indicator of bleeding following this surgery.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 assessing an infant who has intussusception. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply.)

A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures?

A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?

A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?

A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?

A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect?

A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings as an indication that the therapy has been effective?