A nurse is reinforcing teaching with the parents of a 13-month-old child following administration of the measles, mumps, and rubella (MMR) immunization. Which of the following statements by the nurse is appropriate?
Your child will receive another MMR immunization at 4 to 6 years of age.
"Your child will receive two more MMR immunizations over the next 2 years."
"Your child will receive another MMR immunization and the hepatitis B immunization at 3 years of age
"Your child will have an MMR titer taken to determine the need for further immunizations.
The Correct Answer is A
A. According to the recommended immunization schedule, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, before starting school. This booster dose helps ensure long- term immunity against measles, mumps, and rubella.
B. The MMR vaccine is typically administered in two doses: the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. There is no need for additional MMR immunizations over the next 2 years if the child receives the recommended doses.
C. While the child may receive additional immunizations at 3 years of age, such as the hepatitis B vaccine, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, not 3 years.
D. Titer testing is typically not recommended for determining the need for further MMR immunizations in young children. The immunization schedule provides specific recommendations for MMR vaccine doses based on age, rather than individual titers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nitroglycerin patches should not be removed for routine activities like bathing unless specifically instructed.
B. Nitroglycerin is used to treat hypertension, not induce it. Monitoring for hypertension after applying the patch is unnecessary.
C. To prevent skin irritation and tolerance to the medication, it is important to rotate the application sites when using a transdermal patch. This allows the skin to recover and helps maintain the effectiveness of the medication.
D. Nitroglycerin patches are typically worn continuously for 12 to 14 hours and then removed for a 10- to 12-hour nitrate-free interval to prevent tolerance to the medication.
Correct Answer is B
Explanation
B. Phenytoin is associated with gingival hyperplasia, which is an overgrowth of gum tissue. It's essential for clients taking phenytoin to maintain good oral hygiene and receive regular dental check-ups to monitor for this side effect.
A. Phenytoin is not known to directly diminish potassium levels. However, it can cause a variety of electrolyte imbalances, including hyponatremia (low sodium levels) and hypocalcemia (low calcium levels), but not typically hypokalemia (low potassium levels).
C. Ginkgo biloba is an herbal supplement that does not interact with phenytoin.
D. Phenytoin can cause photosensitivity reactions in some individuals, leading to an increased risk of sunburn. However, teaching on gingival hyperplasia is more important.
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