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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Injecting 15 units of air into the regular insulin vial is correct. When drawing up two types of insulin, the nurse should first inject air into the NPH (cloudy) insulin vial without withdrawing the medication. Then, the nurse should inject air into the regular (clear) insulin vial before withdrawing the regular insulin. This prevents contamination and maintains proper insulin mixing procedures.
B. Placing the cap over the needle is incorrect. Once insulin preparation has started, recapping the needle is unnecessary and increases the risk of contamination or needlestick injury.
C. Verifying the dosage with another nurse is incorrect at this stage. Dosage verification should be done after the correct amounts of insulin are drawn into the syringe, not before.
D. Withdrawing 10 units of NPH insulin is incorrect. The nurse should first withdraw the regular (clear) insulin before drawing up the NPH (cloudy) insulin to avoid contaminating the regular insulin with the longer-acting insulin.
Correct Answer is D
Explanation
A. Increased appetite: Radiation therapy, particularly to the head and neck, can cause nausea, mouth sores, and changes in taste, leading to a decrease in appetite rather than an increase.
B. Loose stools: Loose stools are not a typical side effect of external radiation for throat cancer. Radiation can affect gastrointestinal function if the abdomen or pelvis is irradiated, but it is not commonly associated with the throat area.
C. Bladder infection: Bladder infections are more likely to be associated with treatments like chemotherapy or radiation to the pelvic region, rather than radiation to the throat.
D. Loss of taste: Radiation therapy to the head and neck, including the throat, often affects the taste buds, leading to a condition called dysgeusia, or loss of taste. This is a well-known side effect of radiation in this area.
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