A nurse is providing care to a child who has an allergy to eggs. The nurse should question the prescription for which of the following immunizations?
inactivated poliovirus (PV)
influenza live attenuated (LAV)
Haemophilus influenza type b (Hib)
Hepatitis (Hepi)
The Correct Answer is B
The influenza LAV is typically produced using egg-based methods, which may pose a risk for individuals with an allergy to eggs. Although the risk of a severe allergic reaction to the influenza vaccine is low, it is recommended to avoid the influenza LAV in individuals with a known severe allergy to eggs. Inactivated poliovirus (PV), Haemophilus influenza type b (Hib), and Hepatitis (Hepi) vaccines do not contain egg proteins and can generally be safely administered to individuals with an egg allergy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A.Toddlers experience slowed growth compared to infancy, leading to a natural decrease in appetite (physiologic anorexia). Instead of increasing caloric intake, parents should be encouraged to offer nutrient-dense foods in small, frequent meals and avoid pressuring the child to eat.
B.Tantrums are common in toddlers as they begin to assert independence but struggle with emotional regulation. Parents should use strategies such as remaining calm, setting clear limits, offering choices when appropriate, and using positive reinforcement to help manage tantrums effectively.
C.Establishing trust is a key developmental task of infancy (Erikson’s trust vs. mistrust stage). In toddlerhood (autonomy vs. shame and doubt stage), the focus is on developing independence, so guidance should focus on setting boundaries, providing choices, and allowing safe exploration rather than trust-building alone.
D.Cooperative play is typically aimed at older preschoolers and not toddlers, who are still developing social skills and tend to engage in parallel play rather than cooperative play.
E.Early dental hygiene is crucial for preventing cavities and establishing good oral health habits. Parents should begin brushing their toddler's teeth with a soft toothbrush and a small amount of fluoride toothpaste and schedule the first dental visit by 12 months of age or within 6 months of the first tooth eruption.
Correct Answer is B
Explanation
While the newborn's heart rate of 170 bpm is elevated, the respiratory rate of 44 breaths/min, blood pressure of 85/52 mmHg, and temperature of 99°F (37.2°C) are within the normal range for a newborn.
It is important for the nurse to explain to the parents that the newborn's heart rate may be elevated due to the vomiting and dehydration and that healthcare providers will monitor the vital signs closely to ensure the newborn's stability.
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