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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6.4"]
Explanation
Convert the child's weight from pounds to kilograms:
Weight in pounds: 30 lb
Conversion: 1 lb ≈ 0.454 kg
Weight in kg: 30 lb× 0.454 kg/lb =13.62 kg
30lb×0.454kg/lb=13.62kg
Calculate the dose in mg:
Dose: 15 mg/kg
15 mg/kg ×13.62kg=204.3 mg
Determine the volume to administer:
Available concentration: 160 mg/5 mL
Volume in mL:
204.3 mg ÷160 mg/5mL
= 204.3mg×5ml ÷160mg
=6.4mL
The nurse should administer 6.4 mL of acetaminophen.
Correct Answer is D
Explanation
A. "My parents treat me like a baby sometimes." This statement reflects a common adolescent feeling of striving for independence and experiencing frustration when treated as a child. It is a normal part of adolescent development and not a cause for immediate concern.
B. "There's a pimple on my face, and I worry that everyone will notice it." Concern about appearance is typical for adolescents due to the increased focus on body image and peer perception. This statement is a normal expression of adolescent self-consciousness.
C. ``I start taking ibuprofen a few days before my period starts." Using ibuprofen preemptively for menstrual cramps is a reasonable self-care practice for adolescents experiencing menstrual discomfort. This statement does not indicate any immediate health concern.
D. "None of the kids at my school like me, and I don't like them either." This statement indicates social isolation and potential issues with peer relationships, which can be a red flag for emotional distress or depression. It may suggest that the adolescent is experiencing significant difficulties in their social life that could lead to more serious mental health concerns.
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