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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An apical pulse of 100/min is within the normal range for a toddler. Digoxin should be administered cautiously if the heart rate is too low (below 90-100/min for young children), but 100/min is not a concern.
B. A potassium level of 4.0 mEq/L is within the normal range for toddlers (3.4-4.7 mEq/L), so there is no indication to revise the plan of care.
C. Vomiting is a sign of digoxin toxicity, and it requires immediate attention. The nurse should reassess the digoxin dose and check for other signs of toxicity, such as nausea, bradycardia, and arrhythmias.
D. A digoxin level of 1.2 ng/mL is within the therapeutic range for a toddler (0.8-2 ng/mL), so there is no need to revise the plan of care based on this finding.
Correct Answer is C
Explanation
A. The head of the bed should be maintained at a low angle to reduce stress on the spine, not at a 30° angle.
B. Ambulation should be delayed for a longer period after scoliosis surgery, usually around 24 hours, to avoid strain on the spine.
C. The adolescent should be logrolled every 2 hours by two nurses to maintain spinal alignment after scoliosis surgery.
D. Oral intake should be delayed for a longer period (typically 6 hours) after scoliosis surgery to monitor for any complications.
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