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

Answer and Explanation

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.

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Correct Answer is C

No explanation

A. Neck vein distention B. Polyuria C. Hyperpyrexia D. Jaundice

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.

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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

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