A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?
Haemophilus influenzae type b (Hib)
Varicella (VAR)
Hepatitis B (HepB)
Meningococcal (MCV4)
The Correct Answer is B
Choice A reason: Haemophilus influenzae type b (Hib) vaccine is not the correct choice, as it is usually given to children at 2, 4, 6, and 12 to 15 months of age. A 4-year-old child should have already completed the Hib vaccine series.
Choice B reason: Varicella (VAR) vaccine is the correct choice, as it is recommended for children at 12 to 15 months and 4 to 6 years of age. A 4-year-old child is due for the second dose of the VAR vaccine.
Choice C reason: Hepatitis B (HepB) vaccine is not the correct choice, as it is usually given to children at birth, 1 to 2 months, and 6 to 18 months of age. A 4-year-old child should have already completed the HepB vaccine series.
Choice D reason: Meningococcal (MCV4) vaccine is not the correct choice, as it is not routinely recommended for children younger than 11 years of age. MCV4 vaccine is given to children at 11 to 12 years and 16 years of age, or to children with certain high-risk conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A: The reason why the child is taking the medication
It is essential for the nurse to explain why the child is taking the medication. This helps the parents or caregivers understand the importance of the medication and ensures they are more likely to adhere to the prescribed treatment plan. Knowing the reason for the medication can also help in recognizing the signs of improvement or any potential issues that may arise during the course of treatment.
Choice B: The adverse effects of the medication
Informing the parents or caregivers about the potential adverse effects of the medication is crucial. This knowledge allows them to monitor the child for any side effects and seek medical attention if necessary. It also helps in managing expectations and reduces anxiety if any common side effects occur.
Choice C: Stopping the medication when the child feels better
This is not a correct choice. It is important to complete the full course of antibiotics as prescribed, even if the child starts feeling better. Stopping the medication prematurely can lead to incomplete treatment of the infection and may contribute to antibiotic resistance.
Choice D: Written information about the medication
Providing written information about the medication is important as it serves as a reference for the parents or caregivers. This information can include dosage instructions, potential side effects, and any other relevant details. Written instructions help ensure that the medication is administered correctly and consistently.
Choice E: Using a kitchen spoon to administer the medication
This is not a correct choice. Using a kitchen spoon to administer medication is not recommended as it can lead to inaccurate dosing. It is important to use a proper measuring device, such as an oral syringe or a medication cup, to ensure the correct dosage is given.
Correct Answer is C
Explanation
Choice A reason: Offering the child clear liquids for the first 24 hours is not necessary, as the child can resume a normal diet after the procedure. Clear liquids are only recommended for the first few hours after the procedure to prevent nausea and vomiting.
Choice B reason: Assisting the child to take a tub bath for the first 3 days is not advised, as it can increase the risk of infection and bleeding at the catheter insertion site. The child should avoid tub baths, swimming, and soaking the site until it is completely healed, which may take up to a week.
Choice C reason: Giving the child acetaminophen for discomfort is appropriate, as it can relieve the pain and soreness at the catheter insertion site. The child should avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), as they can increase the risk of bleeding.
Choice D reason: Keeping the child home for 1 week is not required, as the child can resume normal activities within a few days after the procedure. The child should avoid strenuous activities, such as running, jumping, and biking, for at least 24 hours after the procedure.
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