During a well-check for a 12-month-old, the nurse plans to administer the first dose of the varicella vaccine. What is an appropriate action for the nurse to take?

Delay the immunization if the child presents with nasopharyngitis.

Evaluate for presence of allergies to vaccine components.

Refrain from administering since the first dose is not given until 4 years of age.

Administer intramuscularly into the vastus lateralis.

Answer and Explanation

The Correct Answer is B

A. Mild illnesses like nasopharyngitis (a common cold) do not typically contraindicate vaccination, so there is no need to delay immunization.

B. It is essential to evaluate for allergies to vaccine components, such as gelatin or neomycin, which could contraindicate the administration of the varicella vaccine.

C. The first dose of the varicella vaccine is recommended at 12-15 months of age, not at 4 years of age, so it is appropriate to administer it during this well-check.

D. The varicella vaccine is administered subcutaneously, not intramuscularly, so this is not the correct route for administration.

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Correct Answer is D

Explanation

A. Dry mouth is expected postoperatively, especially if the child is not drinking adequate fluids, but it is not a sign of a complication.

B. Mild to moderate pain is expected after a tonsillectomy and should be managed with analgesics.

C. Dried flecks of blood in oral secretions can be normal immediately after surgery, but active bleeding would be concerning.

D. Frequent swallowing is a sign of possible postoperative bleeding, which is a serious complication that requires immediate evaluation and intervention.

A. Thyroid storm B. Vitamin D toxicity C. Cushing syndrome D. Syndrome of inappropriate antidiuretic hormone (SIADH)

Correct Answer is D

Explanation

A. Thyroid storm is related to hyperthyroidism and is not directly associated with vasopressin treatment.

B. Vitamin D toxicity is unrelated to vasopressin and is not a concern in this scenario.

C. Cushing syndrome is caused by excess cortisol and is not related to vasopressin therapy.

D. SIADH is characterized by excessive release of antidiuretic hormone, which can lead to water retention and hyponatremia. Since vasopressin is an antidiuretic hormone analog, it can cause similar effects if not carefully monitored.

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During a well-check for a 12-month-old, the nurse plans to administer the first dose of the varicella vaccine. What is an appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is closely monitoring a pediatric client following a tonsillectomy. Which finding would alert the nurse to a postoperative complication?

Correct Answer is D

Explanation

A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

Correct Answer is D

Explanation

A school-age client with asthma has been monitoring their daily peak expiratory flow rates(PEFR). The client's mother calls the clinic to report that the PEFR was at 45% of their personal best. Which guidance should the nurse provide to the mother?

In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

During the assessment of a pediatric client with celiac disease, the nurse would most likely note which physical finding?

The nurse should instruct the family of a pediatric client with newly diagnosed hyperthyroidism to expect which of the following symptoms?

The nurse is caring for a pediatric client admitted with nephrotic syndrome. What assessment finding would likely be noted in a client with this diagnosis?

A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the school nurse should be prioritized?

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?