A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
A 4-month-old infant
A 2-year-old toddler
An 11-year-old school-age child
A 4-year-old child
The Correct Answer is C
The MCV4 vaccine is recommended for individuals aged 11-12 years, with a booster dose recommended at age 16. It helps protect against meningococcal disease, which is caused by bacteria and can lead to serious infections such as meningitis or bloodstream infections.

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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
It is important to recognize that picky eating is a common behavior among preschool-age children and may be a normal part of their development. Children at this age often exhibit preferences for certain foods and may be resistant to trying new foods or eating a wide variety of foods. It is important for parents to understand that this behavior is generally temporary and will likely improve over time.
The nurse should reassure the mother that it is normal for young children to have fluctuations in their appetite and food preferences. Encouraging a positive mealtime environment and offering a variety of healthy foods is important, but pressuring or forcing the child to eat can lead to negative associations with food and mealtime.
Emphasizing the quantity of food consumed over the quality is not recommended, as it may promote unhealthy eating habits. It is important to prioritize offering a balanced diet with a variety of nutrient-rich foods.
Adding fruit juice to the child's diet to increase vitamin intake is not recommended as the primary strategy. Fruit juice is often high in sugar and low in fiber, and excessive consumption can contribute to poor eating habits and dental caries. It is better to focus on offering whole fruits and vegetables for their nutritional benefits.
Having the child remain at the table after meals to increase food intake is not recommended either. It is important to respect the child's appetite and avoid creating negative associations with mealtime. Forcing a child to stay at the table can increase mealtime stress and may further reinforce picky eating behaviors.
Overall, the nurse should provide reassurance to the mother, promote a positive mealtime environment, offer a variety of healthy foods, and allow the child to regulate their own food intake.
Correct Answer is D
Explanation
The hepatitis B vaccine is typically administered to newborns shortly after birth, usually within 24 hours.
The measles, mumps, rubella (MMR) vaccine is typically given between 12 and 15 months of age, not at 6 months.
The first dose of the diphtheria, tetanus, pertussis (DTaP) vaccine is usually given at 2 months of age, not at the 2-week visit.
The pneumococcal conjugate vaccine (PCV) is typically given in a series, starting at 2 months of age, and is completed by the age of 12-15 months. It is not given specifically on the first birthday.

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