A nurse in a provider's office is preparing to administer immunizations to a 12-year-old client during a well-child visit.
Which of the following immunizations should the nurse plan to administer?
Varicella.
Diphtheria, tetanus, and pertussis (DTaP)
Hepatitis A.
Human papillomavirus (HPV)
The Correct Answer is D
The correct answer is choice d. Human papillomavirus (HPV).
Choice A rationale:
Varicella (chickenpox) vaccine is typically administered to younger children, usually between 12-15 months and again at 4-6 years of age.
Choice B rationale:
The Diphtheria, Tetanus, and Pertussis (DTaP) vaccine is also given to younger children in a series of shots starting at 2 months and continuing until 4-6 years of age. At 12 years, a booster called Tdap (Tetanus, diphtheria, and pertussis) is recommended instead.
Choice C rationale:
Hepatitis A vaccine is generally given to children at 12-23 months of age in two doses, six months apart. It is not typically administered at 12 years old unless the child missed the earlier doses.
Choice D rationale:
The Human papillomavirus (HPV) vaccine is recommended for preteens aged 11-12 years to protect against cancers caused by HPV. This is the appropriate age for the first dose of the HPV vaccine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D: 5 mL.
Choice A: 8 mL This choice suggests administering 8 mL of amoxicillin per dose. However, based on the child’s weight (10 kg) and the prescribed dosage (80 mg/kg/day divided into two doses), the correct calculation leads to a dosage of 5 mL per dose. Therefore, 8 mL would be more than the recommended dosage.
Choice B: 80 mL Administering 80 mL of amoxicillin per dose would be significantly more than the recommended dosage. This could potentially lead to an overdose, which could cause harmful side effects.
Choice C: 10 mL While 10 mL is close to the correct dosage, it is still double the recommended amount. Administering too much amoxicillin could potentially lead to an overdose and cause harmful side effects.
Choice D:
Step 1: Calculate the total amount of amoxicillin needed per day.
The total amount of amoxicillin needed per day is calculated by multiplying the weight of the child by the dosage per kg. So, 80 mg/kg/day × 10 kg = 800 mg/day.
Step 2: Divide the total amount of amoxicillin needed per day by the number of doses per day.
The total amount of amoxicillin needed per day is divided into two doses. So, 800 mg/day ÷ 2 = 400 mg/dose.
Step 3: Calculate the volume of amoxicillin suspension needed per dose.
The volume of amoxicillin suspension needed per dose is calculated by dividing the amount of amoxicillin needed per dose by the concentration of the suspension. So, 400 mg/dose ÷ (400 mg/5 mL) = 5 mL/dose.
Therefore, the nurse should administer 5 mL of amoxicillin per dose.
Correct Answer is C
Explanation
Choice A rationale:
Showing teeth while smiling assesses the facial nerve (cranial nerve VII), not the accessory nerve (cranial nerve XI) The facial nerve controls facial expressions, including smiling.
Choice B rationale:
Following a light in the six cardinal positions assesses extraocular eye movements, which are controlled by the oculomotor nerve (cranial nerve III), trochlear nerve (cranial nerve IV), and abducens nerve (cranial nerve VI) This action does not assess the accessory nerve.
Choice C rationale:
Shrugging the shoulders against mild pressure assesses the function of the accessory nerve (cranial nerve XI) The accessory nerve controls the sternocleidomastoid and trapezius muscles, which are responsible for head rotation and shoulder shrugging. Assessing the strength of these muscles helps evaluate the integrity of the accessory nerve.
Choice D rationale:
Moving the tongue in all directions assesses the hypoglossal nerve (cranial nerve XII), which controls tongue movements. This action does not assess the accessory nerve.
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