A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?

Verify if the toddler has an allergy to gelatin.

Verify the route of administration for the vaccine.

Inform the guardians that their toddler is too young to receive an influenza vaccine.

Inform the guardians that their toddler will need two more doses of the vaccine within 6 months.

Answer and Explanation

The Correct Answer is A

A. Verifying if the toddler has an allergy to gelatin is important because some vaccines, including the influenza vaccine, may contain gelatin as a stabilizer.

B. Verifying the route of administration is important but has already been specified (subcutaneous).

C. A toddler is an appropriate candidate for the influenza vaccine, and it is recommended annually.

D. A toddler typically receives one dose of the influenza vaccine unless it is the first time receiving it, in which case two doses are needed, but this is usually specified by the provider.

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Correct Answer is C

Explanation

A. Allowing the infant to self-soothe by crying before feeding can lead to increased energy expenditure and should be avoided in heart failure.

B. Allowing 45 minutes per feeding could exhaust the infant and lead to insufficient intake.

C. Implementing a 3-hour feeding schedule is recommended for infants with heart failure to ensure they are getting adequate nutrition without becoming too fatigued. Shorter, more frequent feedings are easier for the infant to tolerate.

D. A recumbent position during feeding can worsen respiratory distress in infants with heart failure, and a semi-upright position is generally preferred.

A. Apply a topical anesthetic cream 1 hr prior to the procedure. B. Perform the procedure in the unit's playroom. C. Ask the child's parent to leave the room during the procedure. D. Explain the procedure in detail to the child 3 hr prior to the procedure.

Correct Answer is A

Explanation

A. Applying a topical anesthetic cream 1 hour prior to the procedure can help reduce pain and discomfort during venipuncture, ensuring atraumatic care for the child.

B. The procedure should not be performed in the playroom, as it may cause distress to the child and create a negative association with that space.

C. The presence of a parent during the procedure can provide comfort and support to the child, reducing anxiety and fear.

D. Explaining the procedure in detail 3 hours prior may cause unnecessary anxiety. A brief, simple explanation right before the procedure is more appropriate for a 4-year-old.

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A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Correct Answer is A

Explanation

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