A nurse is reviewing the medical record of a school-age child who is current on recommended immunizations. Which of the following immunizations should the nurse plan to administer at the 11-year-old well-child visit?
Tetanus, diphtheria, acellular pertussis (Tdap)
Haemophilus influenzae type b (Hib)
Inactivated poliovirus (IPV)
Rotavirus (RV)
The Correct Answer is A
Rationale:
A) The Tdap vaccine is recommended for adolescents at 11-12 years of age for protection against tetanus, diphtheria, and pertussis (whooping cough) as a booster dose.
B) The Hib vaccine is typically administered during infancy and is not routinely given at 11 years of age.
C) The IPV vaccine is typically administered during infancy and is not routinely given at 11 years of age.
D) The RV vaccine is routinely given during infancy and is not given at 11 years of age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) The diastolic value is recorded as the disappearance of Korotkoff sounds (K5), not the first sound (K1).
B) The cuff pressure should be released at a rate of 2-3 mm Hg/second, not 5 mm Hg/second.
C) Positioning the child's arm at the level of the heart ensures an accurate blood pressure measurement.
D) The cuff bladder size should be approximately 40% of the child's upper arm circumference, not 20%.
Correct Answer is B
Explanation
Rationale:
A) While empathetic, this response does not provide information or reassurance about the child's bedwetting in the hospital setting.
B) Regression, including bedwetting, is a common response to stress or disruption in routine, such as hospitalization, and is often temporary.
C) Dismissing the parent's concern may increase their anxiety and is not appropriate.
D) While it's important to consider potential medical implications, the nurse should first address the parent's concerns and offer reassurance about the temporary nature of the bedwetting.
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