A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?

Your child will receive another MMR immunization at 4 to 6 years of age.

"Your child will receive two more MMR immunizations over the next 2 years."

"Your child will receive another MMR immunization and the hepatitis B immunization at 3 years of age

"Your child will have an MMR titer taken to determine the need for further immunizations.

Answer and Explanation

The Correct Answer is A

A. According to the recommended immunization schedule, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, before starting school. This booster dose helps ensure long- term immunity against measles, mumps, and rubella.
B. The MMR vaccine is typically administered in two doses: the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. There is no need for additional MMR immunizations over the next 2 years if the child receives the recommended doses.
C. While the child may receive additional immunizations at 3 years of age, such as the hepatitis B vaccine, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, not 3 years.
D. Titer testing is typically not recommended for determining the need for further MMR immunizations in young children. The immunization schedule provides specific recommendations for MMR vaccine doses based on age, rather than individual titers.

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Correct Answer is C

Explanation

C. Carbamazepine is the drug of choice for managing trigeminal neuralgia pain. It is effective in reducing the frequency and severity of painful episodes associated with the condition.
A. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not typically used as a first-line treatment for trigeminal neuralgia pain.
B. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant medication used to treat depression, anxiety disorders, and certain other conditions. It is not indicated for the management of trigeminal neuralgia pain.
D. Methylphenidate is a central nervous system stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is not indicated for the management of trigeminal neuralgia pain.

A. 15 g of carbohydrates B. Diphenhydramine C. Naloxone D. IV fluid bolus

Correct Answer is D

Explanation

D. Dizziness and lightheadedness may be indicative of hypotension, which can occur as a side effect of ramipril, particularly with the first dose or with dose adjustments. Administering an IV fluid bolus can help increase intravascular volume, improve blood pressure, and alleviate symptoms of hypotension.
A. Administering carbohydrates is not indicated for dizziness and lightheadedness associated with ramipril administration. Carbohydrates are typically used to treat hypoglycemia in clients with diabetes. Dizziness and lightheadedness in this scenario are unlikely to be caused by hypoglycemia.
B. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, itching, and insomnia. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Administering diphenhydramine may not address the underlying cause of the symptoms.
C. Naloxone is a medication used to reverse opioid overdose by blocking the effects of opioids at receptor sites. It is not indicated for dizziness and lightheadedness associated with ramipril administration. Naloxone would not be appropriate in this situation.

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A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?

Correct Answer is C

Explanation

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?

A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?

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