A nurse is providing teaching about the diphtheria, tetanus, and pertussis (DTaP) vaccine to the parent of an infant. Which of the following should the nurse include?
The vaccine is administered in the thigh.
The vaccine is administered subcutaneously, or under the skin.
The vaccine in given in a series of three doses.
Booster doses are recommended every 5 years throughout life.
The Correct Answer is A
A. The vaccine is administered in the thigh: For infants, the preferred site for intramuscular administration of the DTaP vaccine is the anterolateral thigh. This site has adequate muscle mass to safely absorb the vaccine and reduce complications.
B. The vaccine is administered subcutaneously, or under the skin: The DTaP vaccine is administered intramuscularly, not subcutaneously, to ensure proper absorption and immune response.
C. The vaccine is given in a series of three doses: The primary DTaP series for infants typically consists of five doses, not three, given at 2, 4, 6, 15–18 months, and 4–6 years.
D. Booster doses are recommended every 5 years throughout life: Booster doses are given at specific ages—4–6 years, 11–12 years (Tdap), and then every 10 years—not every 5 years.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Organ donation can be considered before the client has died: Organ donation decisions are formally addressed after death or when death is imminent and criteria such as brain death are met. Premature consideration before death determination raises ethical and legal concerns. The process follows strict medical and legal protocols.
B. Organ donation is not regulated by any laws: Organ donation is governed by national and international laws and ethical guidelines to ensure consent, fairness, and safety. Regulatory frameworks define donor eligibility, procurement processes, and recipient allocation. Lack of regulation would risk ethical violations.
C. Organ donor status influences the course of a child's treatment: Medical care is provided based on the child’s clinical needs, independent of donor status. Treatment decisions are made to preserve life and function, not to facilitate organ procurement. Separating care from donation decisions protects patient rights.
D. Starting the discussion on organ donation early gives families time to make informed decisions: Early, sensitive discussion allows families to process information, ask questions, and consider values without time pressure. This approach supports informed consent and reduces distress during critical moments. It aligns with ethical standards in end-of-life care and transplantation.
Correct Answer is D
Explanation
A. "Most vaccines require only one dose.": Many vaccines require multiple doses or boosters to provide full and lasting immunity, such as DTaP, MMR, and pneumococcal vaccines. Stating that most vaccines are single-dose is inaccurate and may give caregivers a false sense of protection.
B. "The rhinovirus can be prevented with a vaccine.": Currently, there is no vaccine available to prevent rhinovirus infections, which are a common cause of the common cold. Education should focus on vaccines that prevent serious respiratory infections, such as influenza and pneumococcal disease.
C. "Children who have underlying respiratory diseases should not receive vaccines.": On the contrary, children with chronic respiratory conditions are at higher risk for complications from infections and should receive recommended vaccines to reduce morbidity and prevent severe illness.
D. "Early immunization is key to the prevention of illnesses.": Timely vaccination according to recommended schedules helps protect children from preventable respiratory infections before exposure. Early immunization is essential to developing immunity and reducing the risk of complications, particularly in school-age children.
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