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 A
Explanation
A. The FLACC pain rating scale is appropriate for infants and young children, assessing pain based on Face, Legs, Activity, Cry, and Consolability, making it suitable for a 5-month-old infant.
B. The COMFORT pain rating scale is generally used for children who are unable to communicate their pain, typically in older children or adolescents, and is less suitable for this age group.
C. The FACES pain rating scale is designed for children aged 3 and older who can identify facial expressions but is not appropriate for a 5-month-old infant.
D. The CRIES pain rating scale is also used for infants but is more specific to neonates (0-6 months) and measures crying, oxygen requirement, increased vital signs, and facial expressions, making it less applicable than the FLACC scale for this specific postoperative context.
Correct Answer is B
Explanation
Rationale:
A) It is recommended to use fresh or frozen fruits and vegetables rather than canned due to concerns about added sugars and sodium.
B) Introducing one new food every 5 to 7 days helps identify potential allergies or intolerances and allows the infant's digestive system to adjust to new foods.
C) The amount of solid food introduced initially is typically smaller, usually starting with a teaspoon or so, gradually increasing as the infant gets accustomed to eating solids.
D) Adding rice cereal to a bottle is not recommended as it can increase the risk of choking and does not promote self-feeding skills.
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