A nurse is teaching a group of parents about childhood immunizations.
The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

The correct answer is Choice C.

Choice A rationale

Restricting the child’s strenuous activities for 3 days is important, but it is not the priority. Monitoring for signs of impaired circulation or complications is more critical.

Choice B rationale

Using a hair dryer on a cool setting to relieve itching can be helpful, but it is not the priority. The priority is to monitor for signs of impaired circulation.

Choice C rationale

Monitoring for pallor or swelling in the child’s affected hand is the priority because it can indicate impaired circulation or compartment syndrome, which are serious complications that require immediate attention.

Choice D rationale

Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications. .

The correct answer is Choice A.

Choice A rationale

The primary purpose of obtaining consent is to ensure that the patient understands the risks, benefits, and alternatives of the proposed treatment. This process respects patient autonomy and allows them to make informed decisions about their care.

Choice B rationale

While family input can be important, obtaining consent is primarily about ensuring the patient themselves understands and agrees to the treatment. It is not about obtaining permission from the family.

Choice C rationale

Protecting the nurse from legal liability is not the main purpose of obtaining consent. The focus is on patient understanding and autonomy.

Choice D rationale

Consent is about involving the patient in their care decisions, not bypassing their input. It ensures that the patient is fully informed and agrees to the treatment plan.