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?
Measles, mumps, and rubella (MMR)
Respiratory syncytial virus (RSV)
Pneumococcal conjugate (PCV13)
Rotavirus
The Correct Answer is C
Choice A Reason:
Measles, mumps, and rubella (MMR) vaccine is important for general immunity, but it might not be specifically emphasized for an adolescent with sickle cell anemia unless they have missed these vaccinations previously.
Choice B Reason:
Respiratory syncytial virus (RSV) vaccine is often recommended for infants at high risk for severe RSV infection but may not be a primary concern for an adolescent with sickle cell anemia.
Choice C Reason:
Pneumococcal conjugate (PCV13) would be an important immunization to include in the plan for an adolescent with sickle cell anemia. Sickle cell disease increases the risk of infections, particularly with encapsulated bacteria like Streptococcus pneumoniae, which the PCV13 vaccine covers. This immunization helps prevent pneumonia, meningitis, and other invasive pneumococcal diseases.
Choice D Reason:
Rotavirus vaccine is typically administered in infancy and might not be relevant for an adolescent population.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"Let me know when you want to take the medication.": This statement offers the child autonomy and control over the situation, allowing them to feel empowered to decide when to take the medication.
Choice B Reason:
"The medication isn't bad. It tastes like candy.": This statement might be misleading, as medications often don't taste like candy. It's important to maintain honesty with children about the taste of medication to build trust.
Choice C Reason:
"The medication will treat your hypersensitivity reaction.": While it's important to explain the purpose of the medication, this statement might not resonate well with a preschooler. Using simpler language and a more relatable explanation might be more effective.
Choice D Reason:
"Sometimes, when a child has to take medication, they feel sad.": This statement acknowledges the child's feelings, but it might inadvertently suggest negative emotions associated with taking medication. Instead, it's often better to use positive and reassuring language.
Correct Answer is B
Explanation
Choice A Reason:
"Are you willing to take new parenting classes?" This question is about the parent's willingness to seek additional education rather than exploring their current coping methods.
Choice B Reason:
"What do you do when your infant is fussy?" is correct. This question invites the parent to share their strategies for managing their infant's fussiness, allowing the nurse to gain insight into the parent's coping mechanisms and caregiving approaches. It acknowledges the challenges of dealing with a fussy infant while providing an opportunity for the parent to discuss their techniques for soothing or calming the baby.
Choice C Reason:
"Is it overwhelming when your infant is having a bad day?" While this question acknowledges the potential stress the parent may experience, it might not directly invite discussion about coping mechanisms or strategies.
Choice D Reason:
"Does parenting because you stress?" This question directly addresses stress but might not encourage the parent to discuss specific coping mechanisms or strategies they use when faced with challenging situations.
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