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?

Rotavirus

Pneumococcal conjugate (PCV)

Measles, mumps and rubelle (MMR)

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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Correct Answer is A

Explanation

A. A respiratory rate of 28 breaths per minute indicates increased respiratory effort, which can be a sign of moderate dehydration. The infant may be trying to compensate for fluid
loss.

B. Capillary refill of 1 second is within the normal range (less than 2 seconds). It is not indicative of moderate dehydration.

C. Weight loss of 7% is a significant amount of weight loss and is indicative of severe dehydration, not moderate dehydration. Moderate dehydration is usually defined as 5- 10% weight loss.

D. Bradycardia (slow heart rate) is not typically associated with dehydration. In fact, tachycardia (fast heart rate) is a more common sign of dehydration.

A. "You can drink milk on an empty stomach." B. "You should consume flavored yogurt instead of plain yogurt." C. "You can replace milk with nondairy sources of calcium." D. "You might tolerate plain milk better than chocolate milk."

Correct Answer is C

Explanation

A. Drinking milk on an empty stomach is not recommended for individuals with lactose intolerance, as it can lead to more pronounced symptoms.

B. Flavored yogurts may contain additional sugars or additives that can exacerbate

symptoms in individuals with lactose intolerance. It is generally recommended to choose plain, unsweetened yogurt.

C. This is a correct instruction. There are various nondairy sources of calcium, such as fortified soy milk, almond milk, leafy green vegetables, and certain types of fish (like salmon and sardines).

D. Tolerability of plain milk versus flavored milk can vary from person to person. Some individuals may find one easier to tolerate than the other, but it is not a universal rule for everyone with lactose intolerance.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

Correct Answer is A

Explanation

A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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