Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

Influenza vaccine

(MMR) vaccine and Varicella vaccine

Polio vaccine

Hepatitis vaccine

Answer and Explanation

The Correct Answer is B

A. Influenza vaccine – Incorrect. The inactivated influenza vaccine is safe and recommended.

B. MMR vaccine and Varicella vaccine – Correct. Live vaccines should be avoided for 11 months after receiving IV immunoglobulin therapy for Kawasaki disease, as it can interfere with vaccine efficacy.

C. Polio vaccine – Incorrect. The inactivated polio vaccine (IPV) is safe; however, the oral live polio vaccine (OPV) is not recommended in some cases.

D. Hepatitis vaccine – Incorrect. The hepatitis B vaccine is not a live vaccine and can be safely given.

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Correct Answer is B

Explanation

A. Parents are less likely to rely on hospice care services if their child has a terminal illness. – Incorrect. Many parents seek hospice services for support in end-of-life care.

B. Siblings may feel as if they have lost a parent, which can lead to poor mental health. – Correct. Siblings often experience emotional distress due to the shift in parental attention.

C. Most negative feelings regarding losing a child should diminish within a year. – Incorrect. Grief is an ongoing process that does not have a set timeline.

D. Parents who feel hopeful are less equipped to make decisions that limit end-of-life interventions. – Incorrect. Hope can coexist with informed decision-making.

A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities B. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities C. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities D. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

Correct Answer is D

Explanation

A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta causes the opposite finding.

B. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Blood pressure in the lower extremities is reduced due to decreased blood flow.

C. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta leads to hypertension in the upper body due to increased resistance.

D. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Correct. Coarctation of the aorta causes high BP in the arms and low BP in the legs due to obstructed blood flow past the narrowing.

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Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly hired nurse about how family members are affected by the terminal diagnosis of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?

Correct Answer is D

Explanation

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Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

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