After a discussion on the HPV vaccine with a mother and her 10-year-old daughter at a well-child visit, the nurse recognizes the discussion was successful when the mother makes which statement?
"One injection will give her a lifetime of protection."
"She will need to get a total of four injections in the next 3 months."
"She will need one injection every 5 years"
"My daughter will need two injections over a 6-12 month period."
The Correct Answer is D
A. "One injection will give her a lifetime of protection.": The HPV vaccine requires more than one dose for full immunity. A single injection does not provide adequate long-term protection against human papillomavirus.
B. "She will need to get a total of four injections in the next 3 months.": The HPV vaccine schedule does not include four doses. Administering too many doses in such a short time frame is unnecessary and not part of CDC guidelines.
C. "She will need one injection every 5 years.": The HPV vaccine does not require booster shots every five years. Once the full series is completed, no additional routine boosters are currently recommended.
D. "My daughter will need two injections over a 6–12 month period.": For children who begin the HPV vaccination series before age 15, two doses are given—an initial dose and a second dose 6–12 months later—to provide long-term protection against HPV-related cancers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Initiate chelation therapy with deferoxamine: Deferoxamine is used to treat iron toxicity, not salicylate poisoning. It binds excess iron for renal excretion, so it has no therapeutic effect in cases of acetylsalicylic acid (aspirin) overdose.
B. Perform gastric lavage with activated charcoal: Activated charcoal binds salicylates in the gastrointestinal tract, preventing further absorption into the bloodstream. Gastric lavage followed by charcoal administration is effective when performed soon after ingestion, helping reduce systemic toxicity.
C. Administer N-acetylcysteine: N-acetylcysteine is the antidote for acetaminophen (paracetamol) toxicity. It replenishes hepatic glutathione and protects the liver, but it has no role in neutralizing salicylate poisoning.
D. Induce vomiting with syrup of ipecac: Inducing vomiting is no longer recommended because it can cause aspiration and delay more effective treatments like activated charcoal or gastric lavage. Controlled decontamination under medical supervision is the safer approach.
Correct Answer is D
Explanation
A. Heart: The heart can be assessed while the newborn is calm or asleep to obtain an accurate heart rate and rhythm. Auscultating early avoids startling the infant, allowing for a more reliable assessment.
B. Abdomen: The abdomen should be examined while the newborn is relaxed, as palpation can disturb or wake the baby. Performing this assessment early ensures accurate findings without excessive movement or crying.
C. Lungs: The lungs can be auscultated while the newborn is sleeping to hear clear, unobstructed breath sounds. A quiet, sleeping state minimizes crying, which can interfere with accurate assessment.
D. Throat: The throat examination should be performed last because it involves handling the mouth and airway, which typically awakens or irritates the newborn. This can lead to crying and distress, making it harder to assess other systems afterward.
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