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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?

A.

Hepatitis B

B.

Rotavirus

C.

Pneumococcal conjugate

D.

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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Related Questions

Correct Answer is D

Explanation

D. The expected therapeutic effect of montelukast is the reduction of bronchial inflammation. By blocking leukotriene receptors, montelukast helps to prevent the constriction of airway muscles, decrease mucus secretion, and reduce inflammation in the airways. This can lead to improved asthma control and symptom management.
A. Montelukast is not indicated for the treatment of gastric acid-related conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
B. Montelukast is not typically associated with peripheral vasodilation. Its primary mechanism of action involves blocking the action of leukotrienes, which are inflammatory mediators involved in allergic and asthmatic reactions.
C. Montelukast does not affect white blood cell (WBC) count.

Correct Answer is ["1.2"]

Explanation

Toddler's weight: 26.4 lb

1 lb = 0.453592 kg (conversion factor)

Weight in kilograms = 26.4 lb × 0.453592 kg/lb ≈ 11.979 kg

Calculate the total dosage based on the toddler's weight:

Total dosage = 10 mg/kg × 11.979 kg

≈ 119.79 mg

Determine the volume of acetaminophen solution needed based on the concentration provided: Available concentration: 80 mg/0.8 mL

Dosage required: 119.79 mgUsing the formula:

Volume (mL) = Dosage required (mg) / Concentration (mg/mL)

= 119.79 mg / 80 mg/0.8 mL

≈ 1.2 mL

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