The clinic nurse is providing instructions to the parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement would the nurse make to the parent?
The immunization schedule will need to be altered."
The child will receive all of the immunizations except for the pollo series.
"The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination.
The child should not receive any hepatitis vaccines."
The Correct Answer is C
A. "The immunization schedule will need to be altered."
Incorrect: This is too vague and does not provide specific information about the child's immunization schedule.
B. "The child will receive all of the immunizations except for the polio series."
Incorrect: There is no indication that the child should not receive the polio vaccine. Children with cystic fibrosis are generally recommended to receive all appropriate vaccinations.
C. "The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination."
Correct Answer: Children with cystic fibrosis should receive the recommended basic series of immunizations, including vaccines for diseases such as diphtheria, pertussis, tetanus, measles, mumps, rubella, polio, Haemophilus influenzae type b (Hib), hepatitis B, and others. Additionally, they should receive a yearly influenza vaccination to help prevent respiratory complications.
D. "The child should not receive any hepatitis vaccines."
Incorrect: There is no general contraindication for children with cystic fibrosis to receive hepatitis vaccines. The nurse should recommend the appropriate vaccines, including those for hepatitis B, as per the standard immunization schedule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["90"]
Explanation
The nurse should withhold the dose if the infant's apical heart rate is less than 90 beats per minute.
Digoxin is a medication that can slow the heart rate. If an infant's heart rate is already too slow, administering digoxin can increase the risk of bradycardia, a serious heart rhythm disturbance.
It's important to monitor the apical heart rate for a full minute before administering digoxin to an infant and to withhold the dose if the heart rate is below the specified threshold.
Correct Answer is C
Explanation
A. 9 months: By 9 months, most infants would have well exceeded doubling their birth weight.
B. 12 months: Doubling of birth weight usually occurs earlier, by around 5 to 6 months, rather than 12 months.
C. 6 months
Explanation:
The general guideline is that infants tend to double their birth weight by around 5 to 6 months of age. This doubling of birth weight is a common marker of healthy growth and development during the first few months of life.
D. 3 months: By 3 months, while infants experience significant growth, they usually haven't doubled their birth weight yet.
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