A nurse at a health department is participating in an immunization clinic.
Which child should the nurse identify as requiring a modification in the standard immunization schedule?
A 4-month-old infant who has Down syndrome.
An 18-month-old toddler who has failure to thrive.
A 3-year-old toddler who has leukemia.
A 12-month-old infant who has sickle cell disease.
The Correct Answer is C
Choice A rationale
Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.
Choice B rationale
Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.
Choice C rationale
This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.
Choice D rationale
Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While seeking assistance from local spiritual leaders can be helpful in understanding a community’s culture, it is not the only or necessarily the best way to assess a group’s culture. Cultural assessment involves a broader range of activities.
Choice B rationale
Collecting all data on the first visit may not be feasible or appropriate. Cultural assessment is an ongoing process that involves building trust and rapport with the community.
Choice C rationale
Incorporating one’s implicit bias into planned delivery of care is not appropriate. Nurses should strive to provide culturally competent care, which involves recognizing and addressing their own biases.
Choice D rationale
Interviewing community leaders can provide valuable insights into community life and culture. This is an important part of cultural assessment and can help inform the planning of culturally appropriate care.
Correct Answer is B
Explanation
Choice A rationale
While eating a balanced diet with high-protein snacks is important for healing and overall health, it is not the first thing the nurse should discuss when planning discharge for a client with a pressure injury who requires a special bed at home.
Choice B rationale
The nurse should first ask the client to describe their current living situation. This information is crucial for planning the client’s discharge and ensuring the necessary accommodations can be made for the special bed and other care needs.
Choice C rationale
Discussing the potential for a social worker to help with the cost of supplies is an important part of discharge planning, but it is not the first step. The nurse first needs to understand the client’s living situation and care needs at home.
Choice D rationale
While applying moisture barrier ointment three times a day may be part of the client’s wound care regimen, it is not the first thing the nurse should discuss when planning discharge. The nurse first needs to understand the client’s living situation and care needs at home.
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