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","D","E"]

Explanation

A. Activity. Encouraging physical activity is not appropriate for a preschooler experiencing acute pain, as movement may worsen discomfort or delay healing. Rest is often more beneficial in managing pain from an injury.

B. Warm compress. A warm compress can help relieve muscle tension and improve blood flow, reducing pain perception in certain injuries, such as sprains or muscle aches. It is a safe and effective non-pharmacological intervention for preschoolers.

C. Opioids. Opioids are not the first-line treatment for mild to moderate acute pain in children due to the risk of side effects such as respiratory depression and dependence. Less potent pain management options should be used first.

D. Acetaminophen. Acetaminophen is a safe and effective analgesic for managing mild to moderate pain in children. It helps reduce discomfort and is commonly used for injuries, fevers, and post-procedural pain.

E. Guided imagery. Guided imagery is a distraction technique that can help preschoolers manage pain by shifting focus away from discomfort. Simple visualizations, like imagining a favorite place or a comforting scenario, can be effective.

F. High protein diet. While a high-protein diet supports tissue healing, it does not provide immediate pain relief. Nutritional support is important for recovery but is not a direct intervention for acute pain management.

A. "Kawasaki disease is an abnormal immune response that only affects the liver." B. "Kawasaki disease is an abnormal immune response that causes injury to the body's muscles." C. "Kawasaki disease is an abnormal immune response in which the body attacks the skin only." D. "Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries."

Correct Answer is D

Explanation

A. "Kawasaki disease is an abnormal immune response that only affects the liver." This is incorrect. Kawasaki disease primarily affects the blood vessels, especially the coronary arteries, not just the liver. While liver inflammation can occur, it is not the main concern.

B. "Kawasaki disease is an abnormal immune response that causes injury to the body's muscles." This is incorrect. Kawasaki disease is a vasculitis (inflammation of blood vessels), not a muscle disorder. It mainly affects the heart and blood vessels, potentially leading to aneurysms and long-term cardiac complications.

C. "Kawasaki disease is an abnormal immune response in which the body attacks the skin only." This is incorrect. While skin changes (such as a rash, peeling skin, and red palms/soles) are common symptoms, the primary concern is inflammation of the coronary arteries, which can lead to serious heart complications.

D. "Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries." This is correct. Kawasaki disease triggers inflammation in medium-sized arteries, particularly the coronary arteries, which supply blood to the heart. If untreated, this can lead to coronary artery aneurysms, myocardial infarction, or long-term heart disease.

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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 contributing to the plan of care for a preschooler who is experiencing acute pain from a recent injury. The child describes the pain as "achy". Which of the following interventions should the nurse recommend? (Select All that Apply)

Correct Answer is ["B","D","E"]

Explanation

A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

Correct Answer is D

Explanation

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