A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler.
Which of the following statements should the nurse include in the teaching?
"The first dose of this vaccine is given after the child is 3 years old.”
"Give your child three doses of aspirin following administration of this vaccine.”
"The vaccine should be avoided in children who have leukemia.”
"This vaccine is contraindicated for children who are allergic to eggs.”
The Correct Answer is C
Choice A rationale:
The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.
Choice B rationale:
Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.
Choice C rationale:
The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.
Choice D rationale:
The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Levalbuterol is a short-acting beta agonist, which is commonly used for quick relief in an acute asthma attack.
Choice B rationale:
Cromolyn is used as a preventive treatment for asthma, not for treating an acute attack.
Choice C rationale:
Budesonide is a corticosteroid used for long-term control and prevention of symptoms, not for immediate relief during an acute asthma attack.
Choice D rationale:
Ipratropium is used as a bronchodilator for asthma, but it’s typically not the first choice for treating an acute asthma attack.
Correct Answer is A
Explanation
Choice A rationale:
A respiratory rate of 10/min is lower than the normal range (12-20 breaths per minute for adults), indicating respiratory depression, which is a serious side effect of morphine and should be reported immediately.
Choice B rationale:
Facial flushing is a common side effect of morphine due to histamine release but it’s not life-threatening.
Choice C rationale:
Constipation is a common side effect of morphine and can be managed with laxatives and diet.
Choice D rationale:
Blood pressure 88/56 mm Hg is lower than the normal range (90/60mmHg to 120/80mmHg), indicating hypotension, which can be a side effect of morphine but it’s not as immediately life-threatening as respiratory depression.
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