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A nurse is planning care for an adolescent who has sickle cell anemia which of the following immunizations should the nurse include in the plan?

A.

Rotavirus

B.

Pneumococcal conjugate (PCV)

C.

Measles, mumps and rubelle (MMR)

D.

Respiratory syncytial virus (RSV)

Answer and Explanation

The Correct Answer is B

A.    Rotavirus vaccine is not typically indicated for adolescents. It is usually administered to infants.
 
B.    Correct. Adolescents with sickle cell anemia are at increased risk for infections,

including those caused by Streptococcus pneumoniae. The pneumococcal conjugate vaccine (PCV) helps protect against certain types of pneumococcal bacteria.

C.    The MMR vaccine provides immunity against measles, mumps, and rubella, but it is not specifically indicated for adolescents with sickle cell anemia. They should receive
this vaccine as recommended for their age group.

D.    The RSV vaccine is primarily recommended for infants and young children at high risk for severe respiratory syncytial virus (RSV) infection. It is not typically indicated for adolescents with sickle cell anemia.


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Related Questions

Correct Answer is C

Explanation

A. Jacket restraints are typically used to secure a child's arms during procedures. They are not specifically designed for venipuncture in infants.
B. Elbow restraints are used to secure the child's elbows, often during procedures involving the upper body. They are not typically used for venipuncture.
C. The mummy restraint is specifically designed to secure an infant's arms during venipuncture. It wraps the arms snugly, allowing access to the veins while minimizing movement.
D. Mitten restraints are used to prevent the child from manipulating equipment or accessing areas that should be restricted. They are not designed for venipuncture procedures.

Correct Answer is A

Explanation

A. This statement demonstrates understanding. Elevating the broken arm on pillows can help reduce swelling and promote comfort during the night.

B. Limiting the use of the fingers of the broken arm is important for proper healing.
However, the client should still engage in gentle range-of-motion exercises as instructed by the healthcare provider.

C. Expecting some degree of swelling in the fingers is normal after the application of a cast. This statement shows understanding.

D. Sprinkling baby powder into the cast if the arm itches is not recommended. It can cause irritation and is not an effective way to address itching under the cast. The client should be instructed not to insert anything into the cast.

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