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A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply.

Measles, mumps, and rubella (MMR)

Varicella (VAR)

Rotavirus (RV)

Herpes zoster

Human papillomavirus (HPV4)

Answer and Explanation

Correct Answer : A,B

Rationale:

A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules.

B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules.

C. Rotavirus (RV): The rotavirus vaccine is typically administered at 2, 4, and 6 months of age.

D. The herpes zoster vaccine is not routinely administered to infants at 12 months of age.

E. The HPV vaccine is typically administered starting at age 11 or 12 years, not at 12 months of age.

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Correct Answer is C

Explanation

Rationale:

A. Nuchal rigidity when standing may indicate meningitis, but it is not a common complication of lumbar puncture itself.

B. Double vision is not a typical complication of lumbar puncture and suggests other neurological issues.

C. Headache is a common complication of lumbar puncture, occurring due to leakage of cerebrospinal fluid (CSF) from the puncture site. It is often described as positional, worsening when the patient sits or stands upright and improving when lying down.

D. Pain in the posterior iliac crest is not a typical complication of lumbar puncture and may indicate musculoskeletal issues unrelated to the procedure.

A. "Notify the provider if your child has dark brown blood between their teeth." B. "Encourage your child to drink liquids through a straw." C. "Notify the provider if your child is swallowing frequently." D. "Encourage your child to clear their throat as needed."

Correct Answer is C

Explanation

Rationale:

A. Dark brown blood indicates old blood and is not a sign of active bleeding.

B. Drinking through a straw can increase the risk of bleeding after tonsillectomy, so it should be avoided.

C. Frequent swallowing may indicate discomfort or bleeding and should prompt notification of the healthcare provider.

D. Clearing the throat can also increase the risk of bleeding and should be discouraged after tonsillectomy.

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A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?

Correct Answer is C

Explanation

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