A nurse is reinforcing teaching about immunizations with the parents of a newborn. Which of the following statements should the nurse make?

"Your newborn will receive the first DTaP vaccine during the initial well-baby visit."

"Your newborn should receive an immunization for MMR at 6 months."

"Your newborn is scheduled to have a hepatitis B vaccine prior to discharge."

"Your newborn should receive the PCV vaccine two times prior to his first birthday."

Answer and Explanation

The Correct Answer is C

A. "Your newborn will receive the first DTaP vaccine during the initial well-baby visit.": The first dose of DTaP is typically given at 2 months, not at the newborn stage.

B. "Your newborn should receive an immunization for MMR at 6 months.": The MMR vaccine is usually administered at 12-15 months, not at 6 months.

C. "Your newborn is scheduled to have a hepatitis B vaccine prior to discharge.": Hepatitis B vaccine is recommended to be given within 24 hours of birth as the first dose of a series.

D. "Your newborn should receive the PCV vaccine two times prior to his first birthday.": The pneumococcal conjugate vaccine (PCV) schedule starts at 2 months with multiple doses, but not specifically "two times" before the first birthday.

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Correct Answer is B

Explanation

A. Restrain the toddler for 1 hr after the procedure: This is not necessary; the child should be monitored but not restrained.

B. Place the toddler in a side-lying, knee-chest position: This position helps to open the spaces between vertebrae, facilitating the lumbar puncture.

C. Ask another nurse to assist with holding the toddler in a prone position: The prone position is not appropriate for a lumbar puncture as it does not provide proper spinal alignment.

D. Swaddle the toddler in a warm blanket: While comforting, it is not relevant to the procedure itself.

A. "You should give your child's last daily dose of the medication before 6 o'clock in the evening." B. "You will need to give your child the medication after meals." C. "You will need to have your child's blood glucose level checked monthly." D. "You should not give your child the medication on weekends."

Correct Answer is A

Explanation

A. "You should give your child's last daily dose of the medication before 6 o'clock in the evening." Methylphenidate is a stimulant, and giving it too late in the day can cause insomnia. Administering the last dose before 6 PM helps minimize sleep disturbances.

B. "You will need to give your child the medication after meals." Methylphenidate is typically given before meals to enhance its absorption and effectiveness. Taking it after meals is not recommended as it can delay absorption.

C. "You will need to have your child's blood glucose level checked monthly." There is no need for regular blood glucose monitoring unless the child has other conditions like diabetes. Methylphenidate does not typically affect blood glucose levels.

D. "You should not give your child the medication on weekends." Continuous use of methylphenidate is generally recommended to provide consistent symptom control, including on weekends. “Drug holidays” may be considered in specific cases but should be discussed with a healthcare provider.

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A nurse is reinforcing teaching about immunizations with the parents of a newborn. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about methylphenidate (Ritalin) with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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