A nurse is preparing to administer vaccines to a 1-year-old child.
Which of the following vaccines should the nurse give? (Select all that apply)
Measles, mumps, rubella (MMR).
Rotavirus (RV).
Human papillomavirus (HPV).
Varicella (VAR).
Diphtheria, tetanus, and acellular pertussis (DTaP).
Correct Answer : A,D,E
The correct answer is Choices A, D, and E.
Choice A rationale
The Measles, Mumps, and Rubella (MMR) vaccine is recommended for children at 12-15 months of age. This vaccine protects against three serious diseases: measles, mumps, and rubella. Measles can cause severe respiratory illness and encephalitis, mumps can lead to meningitis and hearing loss, and rubella can cause congenital rubella syndrome in unborn babies if a pregnant woman is infected.
Choice B rationale
The Rotavirus (RV) vaccine is typically given to infants at 2, 4, and sometimes 6 months of age. It is not recommended for children older than 8 months.
Choice C rationale
The Human Papillomavirus (HPV) vaccine is recommended for preteens starting at age
11 or 12. It is not given to 1-year-old children.
Choice D rationale
The Varicella (VAR) vaccine is recommended for children at 12-15 months of age to protect against chickenpox, which can cause severe skin infections, pneumonia, and encephalitis.
Choice E rationale
The Diphtheria, Tetanus, and Acellular Pertussis (DTaP) vaccine is part of the routine immunization schedule for children, with doses given at 2, 4, 6, and 15-18 months of age. This vaccine protects against three serious diseases: diphtheria, which can cause breathing problems and heart failure; tetanus, which can cause muscle stiffness and lockjaw; and pertussis (whooping cough), which can cause severe coughing spells and pneumonia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Reading a story every night is beneficial for cognitive and language development but does not specifically address the developmental task of autonomy versus shame and doubt, which is the focus for toddlers according to Erikson.
Choice B rationale
Allowing a toddler to pull a talking-duck toy fosters autonomy and independence, which are key aspects of Erikson’s developmental stage for toddlers. This activity encourages the child to explore and make choices independently.
Choice C rationale
Feeding the toddler his lunch does not promote autonomy. Instead, it may contribute to dependence, which is contrary to the developmental task of this age group.
Choice D rationale
Watching a puppet show on television is a passive activity that does not actively engage the child in developing autonomy or independence.
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Insulin should be administered subcutaneously, not intramuscularly. Rotating sites is important to prevent lipodystrophy, but the correct technique involves subcutaneous injection.
Choice B rationale
Drawing up the short-acting insulin into the syringe first is correct. This prevents contamination of the short-acting insulin vial with long-acting insulin, ensuring accurate dosing.
Choice C rationale
Wiping off the needle with an alcohol swab is not recommended. The needle should remain sterile, and only the top of the insulin vial should be wiped with an alcohol swab.
Choice D rationale
Administering insulin at a 30-degree angle is incorrect. Insulin should be administered at a 90- degree angle if the person can grasp 2 inches of skin, or at a 45-degree angle if only 1 inch of skin can be grasped.
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