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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Correct Answer is C

Explanation

A. Opioid overdose typically results in central nervous system depression, which can lead to bradycardia (slow heart rate) rather than tachycardia. Bradycardia occurs due to decreased sympathetic nervous system activity.
B. Bradyppnea is a common finding in opioid overdose due to the depressive effect of opioids on the respiratory center in the brainstem. Opioids can suppress the drive to breathe, leading to shallow and rapid breathing, or even respiratory arrest in severe cases.
C. Sedation or drowsiness is a hallmark feature of opioid overdose. Oxycodone, like other opioids, acts on the central nervous system to produce analgesia and sedation. In cases of overdose, sedation may progress to unconsciousness and respiratory depression, which can be life-threatening.
D. Opioid overdose typically causes pinpoint (constricted) pupils rather than dilated pupils. The constriction of pupils, known as miosis, is a classic sign of opioid toxicity due to the suppression of the sympathetic nervous system.

A. "I should increase the sodium in my diet." B. will take this medication on an empty stomach." C. "I should watch for weight loss. D. "I will report a sore throat to my provider."

Correct Answer is D

Explanation

D. Prednisone can suppress the immune system, making individuals more susceptible to infections. Sore throat can be a sign of an infection, and it's important for clients taking prednisone to report any signs of infection, including sore throat, to their healthcare provider promptly.
A. Prednisone can cause sodium retention and fluid retention, leading to increased blood pressure and other complications. Therefore, clients taking prednisone should generally aim to limit their sodium intake rather than increase it.
B. Prednisone is typically taken with food or milk to help minimize gastrointestinal irritation. Taking prednisone on an empty stomach may increase the risk of gastrointestinal side effects such as stomach upset or ulcers.
C. Weight gain, rather than weight loss, is a common side effect of prednisone. Prednisone can cause fluid retention, increased appetite, and redistribution of body fat, leading to weight gain.
Clients should be advised to watch for signs of weight gain and discuss any significant changes with their healthcare provider.

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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 taken an overdose of oxycodone. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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