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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. “Fragile X syndrome follows an autosomal recessive pattern, so both genetic parents must carry the gene mutation for a child to be affected.” Fragile X syndrome is not autosomal recessive; it is X-linked dominant, meaning it is associated with mutations in the FMR1 gene on the X chromosome. Only one copy of the mutated gene is needed to express the condition.

B. "Since your child has fragile X syndrome, all of your future sons will also have the condition, but your daughters will not be affected." This is incorrect because not all sons will necessarily inherit the condition, and daughters can also be affected, though they often have milder symptoms due to having two X chromosomes.

C. “Fragile X syndrome is inherited in a mitochondrial pattern which means it is passed from the pregnant individual to the child through mitochondrial DNA.” Mitochondrial inheritance involves genes from the mother’s mitochondria, but fragile X syndrome is not inherited this way—it is an X-linked disorder passed down through the X chromosome.

D. “Fragile X syndrome is inherited in an X-linked dominant pattern, which means that if a pregnant client carries the gene mutation, each child has a 50% chance of inheriting the condition.” This is correct. Fragile X syndrome is X-linked dominant, and a parent who carries the full mutation has a 50% chance of passing it to each child. Males typically have more severe symptoms than females due to having only one X chromosome.

Correct Answer is ["3.8"]

Explanation

Convert the child's weight from pounds to kilograms:

Formula:

kg = lb / 2.2

= 22 lb / 2.2 lb/kg

= 10 kg

Calculate the total daily dose of dexamethasone:

Total daily dose (mg) = Dose (mg/kg/day) × Weight (kg)

= 1.5 mg/kg/day × 10 kg

= 15 mg/day

Calculate the dose to be administered every 6 hours:

Dose per interval (mg/dose) = Total daily dose (mg/day) / Number of doses per day

= 15 mg/day / 4 doses/day

= 3.75 mg/dose

Calculate the volume of dexamethasone oral solution to administer:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

= 3.75 mg / 1 mg/mL

= 3.75 mL

Round to the nearest tenth:

3.75 mL rounded to the nearest tenth is 3.8 mL.

The nurse should administer 3.8 mL per dose.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 reinforcing education about the inheritance patterns of fragile X syndrome to a couple who have a family history of the disorder. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose?

Correct Answer is ["3.8"]

Explanation

A nurse is discussing contraceptives with an adolescent who has disabilities. The adolescent has difficulty with motor movements and decreased memory. Which of the following birth control methods would be most appropriate for this child?

A nurse is reinforcing teaching to the parents of a school-age child about palliative care. Which of the following statements should the nurse make?

A nurse is reinforcing teaching to a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the new nurse indicates an understanding of the teaching?

A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection and a small amount of purulent drainage visible around the ear. Which of the following techniques should the nurse use when instilling the medication?

A nurse is caring for a 10-year-old client in a pediatric clinic. Exhibits For each potential provider's prescription, click to specify if the assessment findings are consistent with Eczema or Cellulitis. Each finding may support more than 1 disease process.

A nurse is reinforcing education to the caregiver of a 2-year-old toddler diagnosed with lead poisoning. Which of the following statements should the nurse make?

A nurse is reinforcing education about nutrition for a patient who has HIV and has a newborn. Which of the following statements should the nurse provide in the teaching?