The nurse prepares the second diphtheria,tetanus toxoid,and acellular pertussis (DTaP) and second inactivated polio vaccine (IPV) immunization injections for an infant who is 4 months old

Provided a separate injection site is used for all injections,the nurse also may give which of the following
immunizations during the same wellchild-care appointment?
1. Var (varicella)
2. TIV (influenza)
3. MMR (measles,mumps,rubella)
4. Haemophilus influenza type B (HIB)


Answer:4
Rationale:Haemophilus influenza type B (HIB) vaccine is given at 2,4,6,and
12–15 months of age (four doses).None of the other vaccines can be given to a 4-month-old infant.Influenza (TIV) vaccine may be given yearly to infants between 6 months and 3 years of age.Measles,mumps,and rubella (MMR) vaccine is given at 12–15 months and 4–6 years of age (two doses). Varicella (Var) is given at 12–18 months or any time up to 12 years for one dose;for 13 years and older two doses are given,four to eight weeks apart.

Nursing

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The client complains of severe back pain and is excused from work. Later, he is seen water skiing and jogging. These behaviors describe:

a. Malingering b. Somatization c. Hypochondriasis d. A factitious disorder

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A(n) ______ effect is a predictable and often unavoidable adverse effect produced at a usual therapeutic dose

a. adverse b. side c. therapeutic d. toxic

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During unit staff meetings, you observe that Marg rolls her eyes and snorts whenever Julia makes a comment. Your first response as a unit manager is to:

a. Discuss what you have observed with Marg. b. File immediate documentation in Marg's personnel file. c. Ask Julie to monitor Marg's behavior during meetings. d. Ignore the behavior, as Marg is one of your strongest nurses.

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