A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?

Hepatitis B

Rotavirus

Pneumococcal conjugate

Quadrivalent human papillomavirus

Answer and Explanation

The Correct Answer is D

D. The Quadrivalent human papillomavirus (HPV) vaccine is recommended for both males and females to protect against certain strains of HPV that can lead to cervical cancer, genital warts, and other HPV- related cancers. It is typically administered in a series of doses starting around 11-12 years of age.
A. Hepatitis B vaccine is typically administered at birth, followed by a series of doses at 1-2 months and 6-18 months of age. By the age of 11, the child would have completed the series if they were up to date on immunizations. Therefore, it is unlikely that the child would need another dose of the Hepatitis B vaccine at this age.
B. Rotavirus vaccine is usually administered in infancy, with the first dose given around 2 months of age and the last dose by 8 months of age. By the age of 11, the child would have completed the series if they were up to date on immunizations. So, administering the Rotavirus vaccine to an 11-year-old who is up to date on immunizations is unnecessary.
C. The Pneumococcal conjugate vaccine protects against infections caused by the bacterium Streptococcus pneumoniae, such as pneumonia and meningitis. It is typically administered in infancy, with a booster dose recommended at around 12-15 months of age. However, the CDC recommends a single revaccination dose of Pneumococcal conjugate vaccine for children aged 6 through 18 years who are at high risk of infection. If the child falls into this category, the nurse should plan to administer the vaccine.

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Free Nursing Study Resources

Correct Answer is B

Explanation

B. Weight gain can indicate that methimazole is effectively managing the thyroid imbalance. Methimazole is commonly used to treat hyperthyroidism by inhibiting the production of thyroid hormones. Weight gain may occur as a result of restoring thyroid hormone levels to normal, which can lead to a decrease in metabolism and an improvement in symptoms associated with hyperthyroidism, such as unintended weight loss.
A. Increased libido is not typically associated with the effectiveness of methimazole in treating thyroid imbalance. Thyroid dysfunction, whether hyperthyroidism or hypothyroidism, can affect libido, but improvement in libido would not specifically indicate the effectiveness of methimazole.
C. Decreased menstrual flow is not a typical indicator of the effectiveness of methimazole in treating thyroid imbalance. Thyroid dysfunction can affect menstrual cycles, with hyperthyroidism often associated with lighter or irregular menstrual periods. However, improvement in menstrual flow alone would not necessarily indicate the effectiveness of methimazole.
D. Clear breath sounds are not specific to the effectiveness of methimazole in treating thyroid imbalance. While methimazole can help manage symptoms of hyperthyroidism, such as palpitations and shortness of breath, clear breath sounds do not directly indicate thyroid function improvement.

A. Request a different medication from the provider B. Administer the medication to the client. C. Premedicate the client with diphenhydramine. D. Request a different route of administration from the provider.

Correct Answer is B

Explanation

A. There is no need for change of antibiotic as there is no cross-rectivity between macrolides and penicillins.
B. Given the client's severe allergy to penicillin, it would be safe to administer erythromycin, a macrolide, as there is no risk of cross-reactivity.
C. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, but premedicating the client with diphenhydramine is not necessary.
D. Changing the route of administration would not alter the risk of an allergic reaction.

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A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking methimazole for 2 months for the treatment of a thyroid imbalance. Which of the following findings indicates that the medication is effective?

Correct Answer is B

Explanation

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?

A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?

A nurse is preparing to administer 0800 medications to a client. The medication administration record (MAR) states "phenobarbital" and the medication the pharmacy supplied is pentobarbital. Which of the following actions should the nurse take?

A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?

A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?

A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?