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 C

Explanation

A. Be careful that it doesn't scratch them: While it’s important to avoid scratches that could lead to infections, this is not the primary concern for a pregnant woman with a cat. The main concern revolves around parasitic infection.

B. Refrain from cleaning the cat's food bowl: There is no specific risk to the pregnant client from cleaning the cat's food bowl. The primary concern is handling the cat's litter box, not its food bowl.

C. Ask someone else to change the cat litter: Pregnant women should avoid changing cat litter due to the risk of toxoplasmosis, an infection caused by the Toxoplasma parasite that can be found in cat feces. This infection can harm the fetus.

D. Give it away until after delivery: There is no need to give away the cat during pregnancy as long as the woman avoids cleaning the litter box and practices good hygiene. Toxoplasmosis can generally be avoided with proper precautions.

A. "Your baby's defect is small and will likely close on its own by 1 year of age" B. "With a small defect like this, they wait until the child is 10 years old to do the surgery" C. "It is common for health-care providers to wait until an infant develops respiratory distress before they do surgery" D. "It is always helpful to get a second opinion about any serious condition like this"

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What education would the nurse provide to a client who is 16 weeks pregnant and owns a cat?

Correct Answer is C

Explanation

The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is:

Correct Answer is A

Explanation

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