A nurse is reinforcing education with the caregiver of a school-age child regarding immunizations to prevent respiratory infections. Which of the following information should the nurse include in the teaching?

"Most vaccines require only one dose."

"Children who have underlying respiratory diseases should not receive vaccines."

"Early immunization is key to the prevention of illnesses."

"The rhinovirus can be prevented with a vaccine."

Answer and Explanation

The Correct Answer is C

A. "Most vaccines require only one dose." Many vaccines require multiple doses or booster shots to ensure long-term immunity. For example, the influenza vaccine is given annually, and the pneumococcal vaccine may require boosters in high-risk children.

B. "Children who have underlying respiratory diseases should not receive vaccines." Children with underlying respiratory conditions (e.g., asthma, cystic fibrosis) are often at higher risk for complications from respiratory infections. Vaccination is especially important for these children to protect them from severe illness.

C. "Early immunization is key to the prevention of illnesses." Vaccinating children at the recommended ages helps build early immunity against preventable respiratory infections like influenza, pneumococcal disease, and pertussis. Early immunization reduces disease severity and complications.

D. "The rhinovirus can be prevented with a vaccine." The rhinovirus (which causes the common cold) does not have a vaccine because it has many different strains and mutates frequently. Vaccines are available for other respiratory illnesses, such as influenza, pneumonia, and pertussis.

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Correct Answer is B

Explanation

A. "My family should use separate serving utensils for gluten-free foods." Cross-contamination is a serious concern for individuals with celiac disease. Using separate utensils and cookware helps prevent exposure to gluten and reduces the risk of intestinal damage.

B. "I can still enjoy oatmeal for breakfast." Regular oats are often contaminated with gluten due to cross-contact with wheat, barley, or rye during processing. Only certified gluten-free oats are considered safe for individuals with celiac disease, but even then, some people may still react due to the protein avenin found in oats.

C. "I need to avoid foods like bread, pasta, and cereal." Many traditional bread, pasta, and cereals contain wheat, barley, or rye, which must be strictly avoided in a gluten-free diet.

D. "I need to check food labels for hidden sources of gluten, like barley and rye." Gluten can be found in processed foods, sauces, seasonings, and even medications. Reading labels carefully is essential for managing celiac disease.

A. “Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." B. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." C. "Intussusception results from the twisting of the intestine causing a blockage in the passage of food." D. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply.”

Correct Answer is D

Explanation

A. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." Intussusception is not a congenital malformation but an acquired condition where one part of the intestine telescopes into another, causing obstruction and potential ischemia.

B. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." This description is more characteristic of a hernia rather than intussusception, which involves the invagination of the intestine rather than a protrusion.

C. "Intussusception results from the twisting of the intestines, causing a blockage in the passage of food." Twisting of the intestines describes volvulus, a separate condition that can also cause bowel obstruction but occurs through a different mechanism than intussusception.

D. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." This is the correct explanation. The telescoping of the intestine can cause bowel obstruction and compromise blood flow, leading to symptoms such as severe abdominal pain, vomiting, and the passage of red, currant jelly-like stools.

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A nurse is reinforcing education with the caregiver of a school-age child regarding immunizations to prevent respiratory infections. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?

Correct Answer is D

Explanation

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