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.”
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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Naxlex Comprehensive Predictor Exams
Related Questions
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
Correct Answer is A
Explanation
When the care plan is not followed during a home visit, the first step for the nurse should be to discuss with the family what changes or challenges have occurred that prevented them from following the plan of care. This approach allows the nurse to gain insight into any barriers or issues the family may be facing, which can then inform the next steps in revising or adapting the care plan to better suit the family's needs and circumstances.
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