The public health nurse is planning a program to decrease the incidence of meningitis in adoles-cents and young adults. Which action is most important?
a. Encourage adolescents and young adults to avoid crowds in the winter.
b. Vaccinate 11- and 12-year-old children against Haemophilus influenzae.
c. Immunize adolescents and college fresh-man against Neisseria meningitides.
d. Emphasize the importance of hand wash-ing to prevent the spread of infection.
ANS: C
The Neisseria meningitides vaccination is recommended for children ages 11 and 12, unvac-cinated teens entering high school, and college freshmen. Hand washing may help decrease the spread of bacteria, but it is not as effective as immunization. Vaccination with Haemophilus in-fluenzae is for infants and toddlers. Because adolescents and young adults are in school or the workplace, avoiding crowds is not realistic.
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