A nurse in a family practice office routinely reviews clients' immunization status at their annual physical examination visits. For which of the following clients should the nurse recommend a human papillomavirus immunization?
A teenage boy
An older adult woman
A preschool-age girl
A middle adult man
The Correct Answer is A
A. A teenage boy is the correct answer. The HPV vaccine is recommended for males and females starting at age 11 or 12, but it is most effective when given before any sexual activity. The vaccine can be administered through age 26 for individuals who were not vaccinated at the appropriate age.
B. An older adult woman is not typically recommended for the HPV vaccine. The vaccine is most effective when given before exposure to the virus, typically in preadolescent girls and boys. Women over the age of 26 may not benefit as much from the vaccine.
C. A preschool-age girl is unlikely to receive the HPV vaccine at this age, as it is usually given starting at age 11 or 12, ideally before the onset of sexual activity.
D. A middle adult man may still receive the HPV vaccine if not previously vaccinated, but it is primarily recommended for individuals under age 26.
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Related Questions
Correct Answer is D
Explanation
A. Taking the newborn back to the nursery is incorrect. While rest is important for the mother, removing the baby does not help build her confidence or teach her how to respond to her infant’s needs. Supporting her in learning newborn care is more beneficial.
B. Turning the baby on his side to help him sleep is incorrect. The safest sleep position for a newborn is on the back, according to safe sleep guidelines. Additionally, this response does not address the mother's feelings of inadequacy.
C. Explaining that babies cry to develop their lungs is incorrect. While crying is normal for newborns, this response dismisses the client’s concern rather than providing reassurance and support.
D. Showing the mother how to swaddle and cuddle the baby, then letting her try is correct. This approach provides practical guidance and empowers the mother, helping her build confidence in her ability to care for her newborn.
Correct Answer is C
Explanation
A. Wearing a mask by family members is not typically necessary at home once the client is on effective treatment for tuberculosis and the infectious period has passed. The client should avoid public places and limit contact with vulnerable individuals, but family members do not need to wear masks at home after the initial treatment phase.
B. Long-term medication is required for tuberculosis, but not for the rest of the client’s life. Treatment usually lasts for 6-9 months, not a lifetime. Adherence to the medication regimen is crucial to prevent relapse or resistance.
C. Throwing away used tissues in a closed plastic bag is correct. This is a key infection control measure to prevent the spread of tuberculosis through respiratory droplets. Used tissues should be discarded in a closed, lined container, and the client should practice good hygiene.
D. No longer infectious after 30 days of treatment is incorrect. A client with tuberculosis may remain infectious until they have completed several weeks of treatment and show improvement. Typically, a negative sputum culture is used to confirm the client is no longer infectious.
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