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For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

4-year-old child with Down Syndrome.

6-month-old developmentally appropriate infant.

15-month-old child with autism.

10-year-old with acquired immune deficiency syndrome (AIDS).

12-year-child with an arm fracture.

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Answer and Explanation

Correct Answer : C,D

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

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Correct Answer is B

Explanation

Choice A rationale:

Placing the patient in halo traction is not applicable for a scoliosis correction surgery with Harrington rods. Halo traction is typically used for cervical spine injuries or deformities, not for scoliosis correction.

Choice B rationale:

The correct answer. After Harrington rod insertion, maintaining proper alignment is crucial to prevent complications. Using a log-roll technique when turning the patient helps maintain spinal alignment and prevent stress on the surgical site.

Choice C rationale:

Keeping the patient nothing by mouth for 72 hours is not typically necessary after scoliosis surgery. Clear fluids and a light diet are usually initiated shortly after surgery.

Choice D rationale:

Restricting visitors for 48 hours is not a standard practice after scoliosis surgery unless there are specific infection control concerns, which are not mentioned in the scenario.

A. "I should refeed any thrust out food to my baby.". B. "I should avoid using skin lubricants on my baby.". C. "I should suction my baby's nose before feedings.". D. "I should use minimal soap when bathing my baby.".

Correct Answer is A

Explanation

Choice A rationale:

Refeeding any thrust out food to the baby is incorrect as it increases the risk of choking and aspiration. Parents should discard food that the baby has pushed out to prevent potential harm.

Choice B rationale:

Avoiding the use of skin lubricants on the baby is appropriate as these products might irritate the baby's sensitive skin.

Choice C rationale:

Suctioning the baby's nose before feedings is important to ensure proper breathing and effective feeding, especially in infants with Down Syndrome who may have nasal congestion.

Choice D rationale:

Using minimal soap when bathing the baby is appropriate to prevent skin irritation. Babies have delicate skin, and excessive soap can lead to dryness and discomfort.

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For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 13-year-old with severe scoliosis is admitted for insertion of Harrington rods. In preparing the patient for postoperative care, the nurse should provide which information?

Correct Answer is B

Explanation

Which statement by the parent of a 10-month-old infant with Down Syndrome indicates the need for further instruction about the child's home care needs?

Correct Answer is A

Explanation

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