During a previous well-child visit, the nurse reviews the importance of immunizations with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective?

Parents plan to have the child receive needed immunizations within a year

Primary care physician changed the appointment for immunizations to another day in a month

Child began to cry during an immunization, and the decision was made to try again later

Child has all immunizations up-to-date

Answer and Explanation

The Correct Answer is D

A. Parents plan to have the child receive needed immunizations within a year: Waiting a year to vaccinate is not ideal. Immunizations should be given according to the recommended schedule to ensure timely protection against preventable diseases.

B. Primary care physician changed the appointment for immunizations to another day in a month: Although rescheduling may happen, effective education would result in adherence to the schedule without unnecessary delays.

C. Child began to cry during an immunization, and the decision was made to try again later: The goal is for the child to receive the immunizations on time. Delaying immunizations due to crying reflects a potential lack of preparedness or understanding by the parents.

D. Child has all immunizations up-to-date: This outcome demonstrates that the parents understand the importance of following the immunization schedule and have followed through with it. Keeping the child’s immunizations up-to-date indicates that the nurse’s instructions were effective in ensuring timely protection.

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Correct Answer is A

Explanation

A. "Your baby's defect is small and will likely close on its own by 1 year of age": Small VSDs often close spontaneously within the first year, and surgery is usually not needed unless the defect is large or causing symptoms.

B. "With a small defect like this, they wait until the child is 10 years old to do the surgery": Surgery for a small VSD is generally not needed unless complications arise. Most close naturally in infancy.

C. "It is common for health-care providers to wait until an infant develops respiratory distress before they do surgery": While respiratory distress is a symptom that might prompt surgical consideration for a VSD, healthcare providers do not wait for a child to develop severe symptoms before intervening. Surgery is considered based on symptoms and defect size.

D. "It is always helpful to get a second opinion about any serious condition like this": A second opinion is not necessary for most small VSDs, which often close on their own. The focus should be on providing accurate information and reassurance.

A. "Your baby is making urine so this is adding to what's in your bladder." B. "Your kidneys now have less cells to filter the fluid that goes through" C. "Your growing uterus is putting pressure on your bladder causing you to go" D. "Your urine is more concentrated now, so you have to go more often"

Correct Answer is C

Explanation

A. "Your baby is making urine so this is adding to what's in your bladder.": While the baby does produce urine, it is not stored in the mother's bladder. The baby’s urine is filtered through the placenta and into the amniotic fluid, not contributing directly to the mother's urinary frequency.

B. "Your kidneys now have less cells to filter the fluid that goes through": Pregnancy increases kidney function. The kidneys filter more blood and produce more urine to accommodate the increased blood volume in the body, but frequent urination is not due to fewer cells.

C. "Your growing uterus is putting pressure on your bladder causing you to go": During early pregnancy, the growing uterus starts to exert pressure on the bladder, which leads to increased frequency of urination. This is a common and normal symptom during pregnancy.

D. "Your urine is more concentrated now, so you have to go more often": Pregnancy does not cause urine to be more concentrated, but rather it increases the volume of urine due to the increased blood volume and kidney function. The frequency is due to pressure on the bladder, not changes in urine concentration.

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During a previous well-child visit, the nurse reviews the importance of immunizations with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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