A school nurse is informed that a student has recently been diagnosed with idiopathic thrombocytopenia purpura. The nurse should identify that which of the following scheduled vaccines should be withheld?

Polio

Measles, mumps, and rubella virus

Diphtheria and tetanus toxoids and pertussis

Hepatitis B

Answer and Explanation

The Correct Answer is B

A. Polio: The inactivated polio vaccine does not contain live virus and does not increase bleeding risk in clients with thrombocytopenia. It is generally considered safe to administer and does not worsen platelet destruction. Routine immunization schedules can usually be continued with this vaccine.

B. Measles, mumps, and rubella virus: The MMR vaccine is a live attenuated vaccine and is associated with the development or worsening of thrombocytopenia. In a client with idiopathic thrombocytopenic purpura, this vaccine should be withheld due to the risk of further platelet reduction and bleeding complications. Careful timing or deferral is recommended until platelet counts stabilize.

C. Diphtheria and tetanus toxoids and pertussis: This vaccine is inactivated and does not pose a risk of viral replication or immune-mediated platelet destruction. While injection technique may need to be adjusted to reduce bleeding risk, the vaccine itself is not contraindicated.

D. Hepatitis B: Hepatitis B vaccine is non-live and safe for clients with thrombocytopenia. Although intramuscular injections can increase the risk of localized bleeding, the vaccine itself does not exacerbate ITP. Applying firm pressure after injection helps minimize bruising or hematoma formation.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Social worker: Social workers can assist clients who have difficulty with transportation by coordinating community resources, arranging rides, or providing access to transportation services. This ensures the client can safely attend follow-up appointments without compromising independence or safety.

B. Primary care provider: The primary care provider manages overall health and follow-up care but does not typically coordinate transportation services for clients.

C. Physical therapist: Physical therapists focus on improving mobility, strength, and balance, which may indirectly support functional independence, but they do not coordinate transportation.

D. Occupational therapist: Occupational therapists help clients maintain or regain functional skills for daily activities, including driving skills, but arranging transportation to appointments falls under social work support rather than therapy interventions.

Correct Answer is "{\"xRanges\":[31.112594221105528,41.16284547738694],\"yRanges\":[27.230046948356815,46.009389671361504]}"

Explanation

A: This corresponds to the pedal/dorsalis pedis pulse area. While distal pulses are assessed, they would likely be even weaker than the femoral pulses in coarctation and are not the primary site for a "femoral" check.

B: This location corresponds to the inguinal crease where the femoral artery is most accessible in an infant. Assessing this pulse is critical for a child with coarctation of the aorta, as a classic clinical manifestation of this condition is weak or absent femoral pulses compared to strong upper-extremity pulses.

C: This corresponds to the brachial pulse area. In an infant with coarctation, the nurse would expect this pulse to be bounding or significantly stronger than those in the lower extremities due to high pressure in the arteries proximal to the aortic narrowing.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A school nurse is informed that a student has recently been diagnosed with idiopathic thrombocytopenia purpura. The nurse should identify that which of the following scheduled vaccines should be withheld?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who states. "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?

Correct Answer is A

Explanation

Correct Answer is "{\"xRanges\":[31.112594221105528,41.16284547738694],\"yRanges\":[27.230046948356815,46.009389671361504]}"

Explanation

A nurse is reinforcing teaching with a client who has a cystocele. Which of the following statements by the client indicates an understanding of the teaching?

The nurse reviews the client's test results. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A nurse is participating in an interprofessional team meeting for a client. Which of the following information about the client should the nurse include?

A nurse is assisting in developing a list of internet sites for clients to obtain valid health information. When evaluating internet resources, which of the following findings indicates the information likely contains credible medical information?

A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client who has an open leg wound and is experiencing difficulty healing. The nurse should encourage the client to increase which of the following nutrients in his diet?

A nurse is assisting with the care of a preschooler who has manifestations that suggest epiglottitis. Which of the following actions should the nurse take?

A nurse is assisting with a community health program for caregivers of clients who have Alzheimer's disease. Which of the following information should the nurse include?