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. Increased restlessness can indicate hypoxia, pain, or worsening shock, which are critical concerns in a toddler with significant burns. This finding should be reported immediately.
B. Respiratory rate of 25/min is within the normal range for a toddler (22-37 breaths per minute) and does not require immediate intervention.
C. Bowel sounds of 20/min are normal and do not indicate a complication.
D. Urinary output of 35 mL/hr is adequate for a toddler (goal: ≥1-2 mL/kg/hr, which would be ≥20-40 mL/hr for a 20 kg child) and does not require reporting.

A. Eats a large amount of food one day then very little the next B. Holds his breath when having a temper tantrum C. Sleeps 11 to 12 hr per day D. Has a vocabulary of 30 words

Correct Answer is B

Explanation

A. Eating a large amount of food one day and very little the next is a normal eating pattern for toddlers. They may have days when they eat more and days when they eat less.

B. This finding should be reported to the provider. Breath-holding spells during temper tantrums can be concerning and may require further evaluation.

C. Toddlers typically need about 11-14 hours of sleep per day, so sleeping 11 to 12 hours is within the normal range.

D. A vocabulary of 30 words is considered normal for a 24-month-old toddler.

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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 collecting data from a toddler who weighs 20 kg (44 lb) and has a full-thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take?

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A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching?

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A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take?

A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?

A nurse is caring for a child who received partial-thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following actions should the nurse take? (Select all that apply.)