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A nurse is preparing to administer vaccines to a 1-year-old child.
Which of the following vaccines should the nurse give? (Select all that apply)

Measles, mumps, rubella (MMR).

Rotavirus (RV).

Human papillomavirus (HPV).

Varicella (VAR).

Diphtheria, tetanus, and acellular pertussis (DTaP).

Answer and Explanation

Correct Answer : A,D,E

The correct answer is Choices A, D, and E.

Choice A rationale

The Measles, Mumps, and Rubella (MMR) vaccine is recommended for children at 12-15 months of age. This vaccine protects against three serious diseases: measles, mumps, and rubella. Measles can cause severe respiratory illness and encephalitis, mumps can lead to meningitis and hearing loss, and rubella can cause congenital rubella syndrome in unborn babies if a pregnant woman is infected.

Choice B rationale

The Rotavirus (RV) vaccine is typically given to infants at 2, 4, and sometimes 6 months of age. It is not recommended for children older than 8 months.

Choice C rationale

The Human Papillomavirus (HPV) vaccine is recommended for preteens starting at age

11 or 12. It is not given to 1-year-old children.

Choice D rationale

The Varicella (VAR) vaccine is recommended for children at 12-15 months of age to protect against chickenpox, which can cause severe skin infections, pneumonia, and encephalitis.

Choice E rationale

The Diphtheria, Tetanus, and Acellular Pertussis (DTaP) vaccine is part of the routine immunization schedule for children, with doses given at 2, 4, 6, and 15-18 months of age. This vaccine protects against three serious diseases: diphtheria, which can cause breathing problems and heart failure; tetanus, which can cause muscle stiffness and lockjaw; and pertussis (whooping cough), which can cause severe coughing spells and pneumonia.

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Correct Answer is A

Explanation

The correct answer is A. Tugging on the affected ear lobe.

Choice A rationale

Tugging on the affected ear lobe is a common sign of otitis media in children. This behavior is often observed because the child is experiencing discomfort or pain in the ear, and tugging or pulling on the ear lobe is a way to express or alleviate that discomfort.

Choice B rationale

Erythema and edema of the affected ear are not typical findings in otitis media. These symptoms are more commonly associated with external ear infections, such as otitis externa.

Choice C rationale

Pain when manipulating the affected ear lobe is more indicative of otitis externa rather than otitis media. Otitis media involves the middle ear, and manipulation of the ear lobe does not typically cause pain.

Choice D rationale

Clear drainage from the affected ear is not a typical finding in otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a more severe infection or a ruptured eardrum.

A. Blood pressure. B. Respiratory rate. C. Body weight. D. Skin integrity.

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Blood pressure is not the most reliable indicator of fluid loss in infants. Blood pressure can remain normal until dehydration is severe.

Choice B rationale

Respiratory rate can be affected by many factors and is not the most reliable indicator of fluid loss.

Choice C rationale

Body weight is the most reliable indicator of fluid loss in infants. A significant decrease in body weight indicates significant fluid loss and helps guide appropriate fluid replacement therapy.

Choice D rationale

Skin integrity can be affected by many factors and is not the most reliable indicator of fluid loss.

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A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply)

Choice D rationale

Choice E rationale

Nursing Test Bank

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Correct Answer is C

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A nurse is preparing to administer vaccines to a 1-year-old child.
Which of the following vaccines should the nurse give? (Select all that apply)