Examkin

Soru

Zorluk: ZorHealth Promotion and Disease Prevention

A practical nurse is providing care at a community health clinic that serves clients across the lifespan. Which action by the nurse demonstrates a correct understanding of health promotion and disease prevention principles?

  1. Withholding a prescribed live-attenuated measles, mumps, and rubella (MMR) vaccine for a pediatric client currently undergoing chemotherapy.Cevap
  2. B
    Referring an 18-month-old toddler for a developmental screening because the child is not yet able to pedal a tricycle.
  3. C
    Advising a family to initiate long-term dementia safety planning for an 80-year-old client who developed sudden, acute confusion over the past 12 hours.
  4. D
    Administering a prescribed routine oral vaccine to an infant without verifying the ingredients after the parents state their strict cultural diet prohibits porcine products.

Cevap

Withholding a prescribed live-attenuated measles, mumps, and rubella (MMR) vaccine for a pediatric client currently undergoing chemotherapy.
The correct action is withholding the MMR vaccine for a client on chemotherapy. The MMR vaccine is a live-attenuated vaccine. Clients who are actively immunosuppressed, such as those undergoing chemotherapy, are at high risk for developing severe, potentially fatal systemic infections from live vaccines. Recognizing strict contraindications is a primary component of safe health promotion and disease prevention.

Adım Adım Çözüm

1
Evaluate the MMR vaccination action.
The MMR vaccine is live-attenuated, and chemotherapy causes systemic immunosuppression.
Administering live vaccines to immunocompromised clients can cause severe, disseminated disease, making this a critical contraindication to recognize.
2
Evaluate the developmental referral action.
Pedaling a tricycle is a gross motor milestone expected at approximately 36 months (3 years) of age.
Referring an 18-month-old for missing a 36-month milestone demonstrates inaccurate developmental assessment.
3
Evaluate the dementia planning action.
A sudden, acute onset of confusion over 12 hours is a classic presentation of delirium, commonly secondary to an underlying acute issue like a urinary tract infection.
Treating sudden confusion as expected dementia delays vital medical evaluation for a reversible, acute condition.
4
Evaluate the vaccine administration regarding dietary restrictions.
Many vaccines contain gelatin as a stabilizer, which may be porcine-derived.
Failing to verify ingredients when a strict cultural or religious dietary restriction is reported violates holistic care and informed consent principles.

Anahtar Kavram

Immunization Contraindications and Lifespan Health Promotion
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Konular

Health Promotion and Disease Prevention

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