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 B
Explanation
The correct answer is choiceb. “We will place the diaper under the straps.”
Choice A rationale:
Adjusting the straps daily is not recommended.The straps should only be adjusted by a healthcare professional to ensure proper fit and effectiveness.
Choice B rationale:
Placing the diaper under the straps is correct.This helps to keep the harness clean and dry, and ensures that the straps remain in the correct position.
Choice C rationale:
The duration of wearing the Pavlik harness is typically longer than 2 weeks.It is usually worn for about 6-12 weeks, depending on the doctor’s recommendation.
Choice D rationale:
Applying lotion to the skin under the straps is not advised as it can cause skin irritation and affect the fit of the harness.
Correct Answer is C
Explanation
Choice A rationale:
Increased heart rate is not a direct indication of the effectiveness of chest physiotherapy treatments in a child with cystic fibrosis. The primary goal of chest physiotherapy is to clear mucus from the airways and improve breathing.
Choice B rationale:
Increased urine output is not directly related to the effectiveness of chest physiotherapy treatments. The focus of chest physiotherapy is on respiratory function and mucus clearance.
Choice C rationale:
Increased expectoration (coughing up mucus) is a positive sign that chest physiotherapy treatments have been effective. Improved clearance of mucus from the airways helps in breathing and reduces the risk of respiratory infections. It indicates that the treatments are helping the child clear the mucus, which is a common problem in cystic fibrosis.
Choice D rationale:
Reduced pain is not the primary goal of chest physiotherapy treatments for cystic fibrosis. While it's essential for the child to be comfortable, the main focus is on improving respiratory function and clearing mucus from the airways.
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