A nurse is reviewing the immunization record of a 6-month-old infant who is due for a well-child visit. Which of the following vaccines should the nurse expect to administer? (Select all that apply.)
Rotavirus
Diphtheria, tetanus, and acellular pertussis
Haemophilus influenzae type b
Measles, mumps, and rubella
Pneumococcal conjugate
Correct Answer : A,B,C,E
Choice A reason: This is the correct vaccine. The nurse should expect to administer rotavirus vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
Choice B reason: This is the correct vaccine. The nurse should expect to administer diphtheria, tetanus, and acellular pertussis vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
Choice C reason: This is the correct vaccine. The nurse should expect to administer Haemophilus influenzae type b vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
Choice D reason: This is an incorrect vaccine. The nurse should not expect to administer measles, mumps, and rubella vaccine to a 6-month-old infant, as the first dose of this vaccine is given at 12 months of age.
Choice E reason: This is a correct vaccine. The nurse should expect to administer pneumococcal conjugate vaccine to a 6-month-old infant, as the third dose of this vaccine is given at 6 months of age.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: Asking the patient to tell their name and date of birth is a way to confirm their identity and match it with the medication order. This is one of the steps of the "five rights" of medication administration, which are the right patient, the right drug, the right dose, the right route, and the right time.
Choice B reason: Asking the patient about their allergies or adverse reactions to medications is important, but it is not a way to ensure patient safety in terms of identification. The nurse should have checked the patient's allergy status before preparing the medication.
Choice C reason: Asking the patient how they feel today and if they have any pain or discomfort is a way to assess their condition and provide comfort measures, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this assessment earlier in the shift or during the medication administration process.
Choice D reason: Asking the patient what is the name of the medication and why they are taking it is a way to educate them about their treatment and check their understanding, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this education before or after giving the medication.
Correct Answer is A
Explanation
Choice A reason: This is a correct statement. The parent indicates an understanding of the teaching by stating that they will wash their hands with soap and water before and after visiting their child, which is a key component of standard precautions and infection control.
Choice B reason: This is an incorrect statement. The parent does not need to wear a mask and gloves when they enter their child's room, unless their child has a known or suspected infection that requires transmission-based precautions.
Choice C reason: This is an incorrect statement. The parent should not bring fresh flowers and balloons for their child, because they can harbor microorganisms and allergens that can cause infection or irritation.
Choice D reason: This is an incorrect statement. The parent should not share their child's toys with other children in the ward, because they can transmit microorganisms and cause cross-infection.
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