A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

Bacille Calmete-Guérin (BCG) vaccine

Pneumococcal polysaccharide vaccine

Inﬂuenza vaccine

Meningococcal polysaccharide vaccine

Answer and Explanation

The Correct Answer is D

Choice A reason: This choice is incorrect because the BCG vaccine is not recommended for adolescents in the United States. The BCG vaccine is a vaccine that protects against tuberculosis (TB), a bacterial infection that aﬀects the lungs and other organs. It may be used for children who live in countries where TB is common or who have a high risk of exposure to TB, but it is not routinely given in the United States because of the low incidence of TB and the possibility of false-positive results on TB skin tests.

Choice B reason: This choice is incorrect because the pneumococcal polysaccharide vaccine is not recommended for adolescents unless they have certain medical conditions. The pneumococcal polysaccharide vaccine is a vaccine that protects against pneumococcal disease, a bacterial infection that can cause pneumonia, meningitis, or sepsis. It may be used for adults who are 65 years or older or who have chronic diseases, immunosuppression, or cochlear implants, but it is not routinely given to adolescents who are healthy.

Choice C reason: This choice is incorrect because the inﬂuenza vaccine is recommended for adolescents every year, not just before college. The inﬂuenza vaccine is a vaccine that protects against inﬂuenza, a viral infection that aﬀects the respiratory system. It may be given as an injection or a nasal spray, and it may prevent or reduce the severity of inﬂuenza and its complications. It is recommended for everyone who is 6 months or older, especially those who have a high risk of inﬂuenza-related complications.

Choice D reason: This choice is correct because the meningococcal polysaccharide vaccine is recommended for adolescents before college. The meningococcal polysaccharide vaccine is a vaccine that protects against meningococcal disease, a bacterial infection that can cause meningitis, septicemia, or death. It may be given as a single dose or a booster dose, and it may prevent outbreaks of meningococcal disease in crowded settings such as dormitories or military barracks. It is recommended for adolescents who are 11 to 12 years old, with a booster dose at 16 years old, or for those who are entering college and have not been previously vaccinated.

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Correct Answer is D

Explanation

Choice A: Ibuprofen is a nonsteroidal anti-inﬂammatory drug (NSAID) that can be used to relieve pain and inﬂammation in children with inﬂuenza. Ibuprofen does not increase the risk of Reye syndrome, which is a rare but serious condition that affects the brain and liver.

Choice B: Grapefruit juice is a citrus fruit that can provide vitamin C and hydration for children with inﬂuenza. Grapefruit juice does not increase the risk of Reye syndrome, but it can interact with some medications and affect their absorption or metabolism.

Choice C: A humidifier is a device that adds moisture to the air and can help ease congestion and coughing in children with inﬂuenza. A humidifier does not increase the risk of Reye syndrome, but it should be cleaned regularly to prevent bacterial growth and infection.

Choice D: Aspirin is a salicylate that can be used to reduce fever and inﬂammation in children with inﬂuenza. However, aspirin can increase the risk of Reye syndrome, especially in children who have viral infections. Reye syndrome can cause swelling in the brain, liver damage, and even death. Therefore, aspirin should be avoided in children under 19 years old who have inﬂuenza or other viral illnesses.

A. "As a nurse, I am required by law to report suspected child abuse." B. "The provider will be coming to explain the situation." C. "I am unable to discuss this, but I can contact my supervisor to speak with you." D. "I reported the incident to my supervisor who decided to contact the authorities."

Correct Answer is A

Explanation

Choice A: This response is appropriate, as it informs the parent that reporting suspected child abuse is a legal and ethical obligation for nurses, regardless of their personal opinions or feelings. This response also shows respect and honesty by acknowledging the parent's concern and explaining the reason for the nurse's action.

Choice B: This response is not appropriate, as it deﬂects responsibility and avoids answering the parent's question. This response also shows disrespect and dishonesty by implying that the provider is more qualified or authorized to explain the situation than the nurse.

Choice C: This response is not appropriate, as it denies information and creates confusion for the parent. This response also shows indiﬀerence and avoidance by suggesting that the nurse does not want to deal with the issue or communicate with the parent.

Choice D: This response is not appropriate, as it shifts blame and undermines trust between the nurse and the parent. This response also shows defensiveness and insecurity by implying that the nurse did not make the decision or take accountability for their action.

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A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has inﬂuenza. The nurse should identify which of the following statements by the parent indicates the child has an increased risk for Reye syndrome.

Correct Answer is D

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

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