A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler.
Which of the following statements should the nurse include in the teaching?
"The first dose of this vaccine is given after the child is 3 years old.”
"Give your child three doses of aspirin following administration of this vaccine.”
"The vaccine should be avoided in children who have leukemia.”
"This vaccine is contraindicated for children who are allergic to eggs.”
The Correct Answer is C
Choice A rationale:
The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.
Choice B rationale:
Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.
Choice C rationale:
The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.
Choice D rationale:
The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Step 1: Convert the child's weight from pounds to kilograms.
44 pounds / 2.2 pounds/kg = 20 kg
Step 2: Calculate the child's total daily dose of gentamicin.
20 kg * 6 mg/kg/day = 120 mg/day
Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.
120 mg / 3 doses/day = 40 mg/dose
Step 4: Calculate the volume of gentamicin to be administered with each dose.
40 mg / 40 mg/mL = 1 mL/dose
Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.
1 mL/dose = 1 mL/dose
Answer: 1 mL with each dose.
Correct Answer is C
Explanation
Choice A rationale:
Increased temperature is not a direct indication of naloxone’s effectiveness. Naloxone works by reversing the effects of opioids, which do not typically include fever.
Choice B rationale:
While naloxone can cause an abrupt withdrawal in opioid-dependent individuals, leading to symptoms such as hypertension, it does not typically decrease blood pressure in opioid overdose cases.
Choice C rationale:
Naloxone works by reversing the life-threatening depression of the central nervous system and respiratory system caused by an opioid overdose. Therefore, an increased respiratory rate after administration would indicate that the medication is effective.
Choice D rationale:
Naloxone reverses the effects of opioids, including pain relief. Therefore, a report of decreased pain would not indicate that the medication is effective.
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