The nurse is caring for an 11-year-old child during a well visit. Which vaccine will the nurse prepare to administer?

Human Papillomavirus

Pneumococcal

Measles

Rubella

Answer and Explanation

The Correct Answer is A

Choice A reason: The Human Papillomavirus (HPV) vaccine is typically recommended for preteens at age 11 or 12 to protect against HPV infections that can lead to certain types of cancer later in life. This vaccine is given as a series of shots, and starting the series at 11 years old is ideal for maximizing its effectiveness before any potential exposure to the virus.

Choice B reason: The Pneumococcal vaccine is generally recommended for infants, young children, and older adults, particularly those with certain health conditions. It protects against pneumococcal disease, including infections in the lungs, blood, and brain. While it is crucial for vulnerable populations, it is not typically administered to healthy 11-year-old children.

Choice C reason: The Measles vaccine is part of the MMR (Measles, Mumps, Rubella) vaccine, which is usually administered in two doses—the first dose at 12-15 months of age and the second dose at 4-6 years of age. By the time a child reaches 11 years old, they would have already received both doses of the MMR vaccine, assuming they followed the standard vaccination schedule.

Choice D reason: The Rubella vaccine is also included in the MMR vaccine, which is given in two doses during early childhood. Since the second dose is typically administered by the age of 6, an 11-year-old child would not require another dose of the Rubella vaccine if they followed the standard vaccination schedule.

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Correct Answer is B

Explanation

Choice A reason: Difficulty sleeping and extreme fatigue are common postpartum symptoms, but they do not indicate an immediate emergency. This patient can be seen after addressing more urgent concerns.

Choice B reason: A patient who believes someone is going to steal their baby may be experiencing postpartum psychosis or severe anxiety. This is a serious mental health concern that requires immediate attention from a healthcare provider to ensure the safety and well-being of both the patient and the baby.

Choice C reason: Having a baby in the neonatal intensive care unit is certainly stressful and requires support, but it does not indicate an immediate medical emergency for the postpartum patient themselves. This patient can be seen after more urgent cases are addressed.

Choice D reason: A teenager who is 6 weeks postpartum with the flu requires medical care, but the symptoms of the flu are generally not as urgent as the mental health concerns presented by a patient experiencing severe anxiety or psychosis. This patient can be seen after more critical cases are attended to.

A. Encourage the parents to home school the child. B. Teach the parents about the need for a high-fibre diet. C. Instruct the parents on the need for yearly dental visits. D. Advise the parents that the child will need monthly thyroid testing.

Correct Answer is D

Explanation

Choice A reason: While some parents may choose to home school their child, this is a personal decision and not a standard recommendation for all children with Trisomy 21. Educational needs should be tailored to the individual child's abilities and preferences, and many children with Trisomy 21 attend public or private schools with appropriate support.

Choice B reason: Teaching the parents about the need for a high-fibre diet is important for overall health but is not specific to Trisomy 21. While children with Trisomy 21 may benefit from a balanced diet, the need for monthly thyroid testing is more directly related to managing their condition.

Choice C reason: Instructing the parents on the need for yearly dental visits is essential for maintaining oral health, but it is not the most critical aspect specific to Trisomy 21. Regular dental check-ups are recommended for all children, regardless of whether they have Trisomy 21.

Choice D reason: Advising the parents that the child will need monthly thyroid testing is crucial because children with Trisomy 21 are at an increased risk for thyroid disorders. Regular monitoring of thyroid function is essential for early detection and management of hypothyroidism or hyperthyroidism, which can significantly impact growth and development.

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The nurse is caring for an 11-year-old child during a well visit. Which vaccine will the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The clinic nurse is triaging postpartum patients. Which patient will the nurse have the healthcare provider see first?

Correct Answer is B

Explanation

The nurse is teaching the parents of a child with Trisomy 21. Which topic will the nurse include in the teaching plan?

Correct Answer is D

Explanation

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