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 B
Explanation
When educating the parent of a child with scabies, it's important to provide accurate information about managing the condition and preventing its spread. Among the options provided:
Choice A Reason:
Apply petroleum jelly to the affected areas: Petroleum jelly does not effectively treat scabies. While it might provide some relief from itching, it won't eliminate the mites or their eggs
Choice B Reason:
Treat everyone who came into close contact with the child: This is an essential step in managing scabies. Close contacts, such as family members or others who have spent prolonged periods with the child, should be treated, even if they aren't showing symptoms. Treating everyone helps prevent the spread and recurrence of the infestation.
Choice C Reason:
Soak combs and brushes in boiling water for 10 minutes: While cleanliness is important to prevent the spread of scabies, soaking combs and brushes in boiling water might not effectively kill scabies mites. Scabies mites cannot survive for more than a few days away from human skin, so simply avoiding sharing personal items is usually enough to prevent transmission.
Choice D Reason:
Wash the child's hair with shampoo containing ketoconazole: Scabies mites primarily infest the skin, not the scalp or hair. Using shampoo with ketoconazole is not considered a standard treatment for scabies. Topical medications, such as permethrin or lindane, prescribed by a healthcare provider, are typically used to treat scabies.
Correct Answer is C
Explanation
Choice A Reason:
Neck vein distention is incorrect. Neck vein distention is not a common symptom of aspirin poisoning. It might be seen in conditions like heart failure but is not typically associated with aspirin toxicity.
Choice B Reason:
Polyuria is incorrect. Excessive urination (polyuria) is not a typical symptom of acute aspirin poisoning. Aspirin toxicity more commonly presents with symptoms related to the central nervous system, respiratory distress, metabolic acidosis, and temperature dysregulation.
Choice C Reason:
Hyperpyrexia is correct. Acute aspirin poisoning can lead to an increased body temperature (hyperpyrexia) due to its effects on the central nervous system and interference with the body's temperature regulation mechanisms. Aspirin toxicity can result in alterations in the hypothalamus, leading to an elevated body temperature.
Choice D Reason:
Jaundice is incorrect. Jaundice, the yellowing of the skin and eyes, is not a characteristic finding of acute aspirin poisoning. It is more commonly associated with liver dysfunction or certain types of liver diseases but is not a typical manifestation of aspirin toxicity.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.