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For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

4-year-old child with Down Syndrome.

6-month-old developmentally appropriate infant.

15-month-old child with autism.

10-year-old with acquired immune deficiency syndrome (AIDS).

12-year-child with an arm fracture.

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Answer and Explanation

Correct Answer : C,D

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

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Correct Answer is A

Explanation

"I will take the enzymes with all my meals and snacks.”.

Choice A rationale:

Taking pancreatic enzymes with all meals and snacks is the correct approach. Pancreatic enzymes are essential for aiding digestion and should be taken whenever food is consumed to ensure proper nutrient absorption.

Choice B rationale:

Taking enzymes only with meals is insufficient. Snacks also require enzyme supplementation for effective digestion.

Choice C rationale:

Waiting for complications before taking enzymes is incorrect. Enzymes are necessary for every meal and snack to prevent malabsorption and digestive issues.

Choice D rationale:

Taking enzymes at night before bed is not recommended. Enzymes are needed when food is present in the stomach, which typically occurs during meals and snacks, not before bedtime.

A. Red blood cell count. B. White blood cell count. C. Platelet count. D. Hematocrit.

Correct Answer is B

Explanation

Choice A rationale:

The red blood cell count is not typically elevated in leukemia. Leukemia primarily affects the white blood cells and their precursors in the bone marrow.

Choice B rationale:

Leukemia involves uncontrolled proliferation of white blood cells. An elevated white blood cell count, especially with abnormal cell types, can support the diagnosis of leukemia.

Choice C rationale:

Platelet count abnormalities are common in leukemia, but an elevated platelet count is more often associated with other conditions such as essential thrombocytosis, not necessarily leukemia.

Choice D rationale:

Hematocrit measures the volume of red blood cells in the blood and is not directly indicative of leukemia. Leukemia primarily affects white blood cells and does not significantly impact hematocrit levels.

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For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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