A nurse is caring for a 9-month-old infant in a pediatric clinic. The child's guardian tells the nurse that the child has missed the scheduled 6-month immunizations. Which of the following responses should the nurse make?

"We can give your child all of the missed immunizations in one injection."

"Your child will have to start their immunization series over from the beginning."

"We will administer the immunizations your child missed today."

"We will give your child all of the needed immunizations at 12 months."

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Administering all the missed immunizations in one injection is not recommended and can lead to increased discomfort and potential adverse reactions.

Choice B rationale:

Starting the immunization series over is unnecessary and can delay the child's protection against vaccine-preventable diseases.

Choice C rationale:

The most appropriate action is to administer the immunizations the child missed at the earliest opportunity to catch up on the schedule.

Choice D rationale:

Waiting until 12 months of age is not necessary if the child has already missed scheduled immunizations. The catch-up schedule should be followed based on the child's current age.

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Correct Answer is B

Explanation

Choice A rationale:

Frequent cervical examinations may increase the risk of introducing infection or causing additional bleeding. Cervical examinations are not a priority in managing placental abruption.

Choice B rationale:

Placental abruption can lead to significant blood loss, and the client may require intravenous fluids and blood products to maintain hemodynamic stability. Initiating an IV with an 18-gauge catheter allows for rapid administration of fluids and blood products if needed.

Choice C rationale:

Monitoring fetal heart rate hourly is important, but addressing the mother's hemodynamic stability with IV fluids takes priority.

Choice D rationale:

Vital signs should be obtained more frequently than every 4 hours due to the risk of ongoing blood loss.

A. Adventitious crisis B. Psychopathologic crisis C. Psychiatric emergency D. Situational crisis

Correct Answer is D

Explanation

Choice A rationale:

An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.

Choice B rationale:

Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.

Choice C rationale:

A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.

Choice D rationale:

A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.

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A nurse is caring for a 9-month-old infant in a pediatric clinic. The child's guardian tells the nurse that the child has missed the scheduled 6-month immunizations. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is experiencing moderate vaginal bleeding due to a placental abruption. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?

Correct Answer is D

Explanation

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