The nurse is discussing the importance of immunizations with the mother of a child with Cystic Fibrosis (CF) for immunizations. Which statement is the best response?

"Your child should not receive any hepatitis vaccine, but all other vaccines are fine"

"Your child needs all typical immunizations as well as a yearly pneumococcal and influenza vaccine."

"We will not be able to give all the required immunizations to your child."

"Your child will can receive all immunizations except for the polio vaccine."

Answer and Explanation

The Correct Answer is B

A. This statement is incorrect as children with CF can receive hepatitis vaccines.
B. Children with CF need all typical immunizations to protect against preventable diseases, as well as additional vaccines like the yearly pneumococcal and influenza vaccines to prevent respiratory infections.
C. This statement is incorrect and misleading. Children with CF should receive all required immunizations.
D. This statement is incorrect as children with CF can receive the polio vaccine.

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Correct Answer is C

Explanation

A. Documenting the information without taking action is inappropriate as lack of drainage could indicate a serious complication.
B. Encouraging the child to cough and deep breathe might be beneficial, but immediate reporting of this finding is critical.
C. Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
D. Assisting the child to a sitting position is not the priority; immediate evaluation by the healthcare team is required.

A. Avoiding further palpation of the abdomen B. Obtaining an accurate height and weight C. Monitoring vital signs D. Assessing the urine for the presence of blood

Correct Answer is A

Explanation

A. Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
B. Obtaining an accurate height and weight is important but not as critical as preventing tumor rupture.
C. Monitoring vital signs is essential but not the priority intervention in this context.
D. Assessing the urine for the presence of blood is important for overall assessment but not the most critical intervention compared to avoiding tumor rupture.

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The nurse is discussing the importance of immunizations with the mother of a child with Cystic Fibrosis (CF) for immunizations. Which statement is the best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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