The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY

Prolonged seizure

Decreased level of consciousness

Low grade fever

Fussiness and crying

Answer and Explanation

Correct Answer : A,B

A. Prolonged seizures are a serious reaction and require immediate medical attention.
B. Decreased level of consciousness is a serious reaction and requires immediate medical attention.
C. Low grade fever is a common and mild reaction to vaccines.
D. Fussiness and crying are common and mild reactions to vaccines.
E. Redness at the site is a common and mild reaction to vaccines.

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Correct Answer is C

Explanation

A. While lidocaine cream can provide some pain relief, it is not the most effective method for relieving pain during a bone marrow aspiration and biopsy.
B. Relaxation techniques can help with anxiety but are not sufficient alone to relieve pain during this procedure.
C. Conscious or unconscious sedation is the most effective intervention to relieve pain and discomfort during a bone marrow aspiration and biopsy. This method ensures that the child is adequately sedated and comfortable throughout the procedure.
D. Acetaminophen can help with minor pain but is not effective enough for the pain associated with a bone marrow aspiration and biopsy.

A. "There is currently no treatment available for graft vs host disease." B. "Your child will need to undergo a full cycle of high dose chemotherapy again." C. "It is the responsibility of the oncologist to determine the treatment plan." D. Typically we start by giving steroids and immunosuppressive drugs."

Correct Answer is D

Explanation

A. This statement is incorrect as there are treatments available for graft versus host disease (GVHD).
B. Chemotherapy is not typically used to treat GVHD.
C. While the oncologist will determine the treatment plan, this response does not provide the parents with helpful information.
D. The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.

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The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?

Correct Answer is C

Explanation

The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

Correct Answer is D

Explanation

A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?

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