A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?
Verify if the toddler has an allergy to gelatin.
Verify the route of administration for the vaccine.
Inform the guardians that their toddler is too young to receive an influenza vaccine.
Inform the guardians that their toddler will need two more doses of the vaccine within 6 months.
The Correct Answer is A
A. Verifying if the toddler has an allergy to gelatin is important because some vaccines, including the influenza vaccine, may contain gelatin as a stabilizer.
B. Verifying the route of administration is important but has already been specified (subcutaneous).
C. A toddler is an appropriate candidate for the influenza vaccine, and it is recommended annually.
D. A toddler typically receives one dose of the influenza vaccine unless it is the first time receiving it, in which case two doses are needed, but this is usually specified by the provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypertension is not typically associated with NEC. In fact, hypotension can occur in severe cases due to shock or sepsis.
B. Rounded abdomen is a common finding in infants with necrotizing enterocolitis (NEC). This is due to abdominal distention, which occurs as a result of gas and fluid buildup in the intestines, a characteristic feature of NEC.
C. While vomiting can be a symptom of NEC, it is not as definitive or characteristic as abdominal distention (rounded abdomen). Vomiting may occur due to bowel obstruction or ileus.
D. Tachypnea can occur in infants with NEC due to infection or sepsis, but it is not as specific or defining as the rounded abdomen.
Correct Answer is D
Explanation
A. Anti-nausea medication is not recommended unless prescribed by the provider and may mask symptoms of toxicity.
B. Increasing fluid intake is not a recommended response to vomiting from digoxin. Fluid balance should be monitored, but not specifically increased.
C. Mixing digoxin with formula is not advised because it can interfere with the absorption of the medication.
D. If an infant vomits after digoxin administration, the nurse should withhold the next dose and consult the provider before administering more. Vomiting may indicate digoxin toxicity, and giving the next dose without evaluation can be dangerous.
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