A nurse is preparing to administer scheduled immunizations to a 5-year-old child. Which of the following vaccines should the nurse plan to administer (Select all that apply)?
Haemophilus influenza type b (Hib)
Varicella (VAR)
Measles, Mumps, and Rubella (MMR)
Meningococcal (MCV4)
Hepatitis B (Hep B):
Correct Answer : A,B,C,E
A. Haemophilus influenza type b (Hib):
Hib vaccine protects against Haemophilus influenzae type b, which can cause serious infections in young children.
B. Varicella (VAR):
Varicella vaccine protects against chickenpox, a contagious viral infection.
C. Measles, Mumps, and Rubella (MMR):
MMR vaccine protects against measles, mumps, and rubella. This vaccine is typically given around the age of 1 and then again at age 4-6.
D. Meningococcal (MCV4):
Meningococcal vaccine (MCV4) is usually recommended for adolescents, not typically at age 5. It protects against certain strains of bacteria that can cause meningitis.
E. Hepatitis B (Hep B):
Hep B vaccine protects against hepatitis B, a viral infection that can cause liver disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rubella:
Rubella, also known as German measles, typically presents with a rash that starts on the face and spreads to the trunk and limbs. It does not cause Koplik spots, the small red spots with a blue-white center mentioned in the scenario.
B. Varicella:
Varicella, or chickenpox, is characterized by an itchy rash that progresses to fluid-filled vesicles. It does not typically involve Koplik spots, and the scenario doesn't describe a vesicular rash.
C. Rubeola (Measles):
Rubeola, or measles, presents with symptoms such as high fever, cough, rhinitis, and conjunctivitis. The characteristic Koplik spots, small red spots with a blue-white center, often appear on the buccal mucosa. This matches the description in the scenario.
D. Infectious Mononucleosis:
Infectious Mononucleosis is characterized by symptoms like fever, sore throat, and swollen lymph nodes. It does not present with the specific buccal membrane spots seen in measles, and the scenario does not mention other typical signs of infectious mononucleosis.
Correct Answer is ["B","C","D","E"]
Explanation
A. “We will keep our household hot water heater at 130 degrees.”
The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.
B. “We will place poisonous substances in a high cupboard.”
Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.
C. “We will place a gate at the top and bottom of stairways.”
Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.
D. “We will put plastic fillers in all electrical plugs.”
Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.
E. “We will turn handles of pans on the stove toward the back of the stove.”
Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.
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