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A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

“It is important to follow the vaccination schedule as designed to protect children when they are most vulnerable, and their immune system is still developing.”

“The vaccination schedule is only a recommendation; if you do not feel comfortable giving the vaccinations now, then it is fine to wait”

“The vaccine schedule is only a recommendation, it is fine to postpone the vaccinations as long as the child is fully vaccinated prior to starting school."

"Adhering to the vaccination schedule is extremely important if you do not agree to get the vaccinations as recommended, you will be putting your child at risk for serious illness and death.”

Answer and Explanation

The Correct Answer is A

The most appropriate response by the nurse emphasizes the importance of following the vaccination schedule to ensure the child's protection, particularly during a period when they are most vulnerable to serious illnesses. This response also highlights the significance of vaccination in safeguarding public health through herd immunity.

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Correct Answer is C

Explanation

The disheveled appearance and irritability of the caregiver may indicate neglect of their own needs and well-being. This lack of self-care can lead to caregiver burnout and negatively impact the quality of care provided to the client.
A, B, and D are also important considerations when assessing caregiver concerns, but in this scenario, the caregiver's appearance and behavior suggest a need for attention to their own self- care needs

A. Portal of entry B. Mode of transmission C. Portal of exit D. Susceptible Host

Correct Answer is B

Explanation

Proper handwashing technique is aimed at interrupting the mode of transmission of infectious agents. When individuals wash their hands effectively, they reduce the likelihood of transferring pathogens from contaminated surfaces to their mucous membranes (e.g., eyes, nose, mouth) or to other individuals.

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A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address?

Correct Answer is C

Explanation

A community health nurse is teaching a group of school age children about proper handwashing technique. The nurse should identify that this intervention targets which of the following links in the chain of transmission?

Correct Answer is B

Explanation

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