A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine.
Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Allergy to neomycin.

Family history of seizures.

Upper respiratory infection 2 days ago.

Temperature of 37.2°C (99°F).

Answer and Explanation

The Correct Answer is A

An allergy to neomycin is a contraindication for receiving the MMR vaccine.

Choice B is wrong because a family history of seizures is not a contraindication for receiving the MMR vaccine.

Choice C is wrong because an upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine.

Choice D is wrong because a temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine.

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Correct Answer is C

Explanation

Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy.

This is because the child may be swallowing blood that is coming from the surgical site.

Choice A is wrong because a blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child.

Choice B is wrong because a heart rate of 54/min is within the normal range for a 5-year-old child.

Choice D is wrong because flushing of the face is not an indication of hemorrhage following a tonsillectomy and adenoidectomy.

A. 2 mL B. 4 mL C. 8 mL D. 16 mL

Correct Answer is C

Explanation

The nurse should administer 8 mL of amoxicillin per dose.

Here’s the calculation:

First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.

Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.

Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.

Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.

Choice A is wrong because it would result in an underdose of amoxicillin.

Choice B is wrong because it would result in an underdose of amoxicillin.

Choice D is wrong because it would result in an overdose of amoxicillin.

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A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler?

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine.
Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?