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A nurse is preparing to administer a vaccine to a 4-year-old child.
Which of the following vaccines should the nurse administer?

A.

Hepatitis B (HepB).

B.

Meningococcal (MenACWY).

C.

Varicella (VAR).

D.

Human papillomavirus (HPV).

Answer and Explanation

The Correct Answer is C

Choice A rationale

Hepatitis B (HepB) is typically given at birth and in subsequent doses but isn't scheduled for 4-year-olds.

 

Choice B rationale

Meningococcal (MenACWY) vaccine is generally recommended for older children and adolescents.

 

Choice C rationale

Varicella (VAR) vaccine is recommended for children around 4 years old to protect against chickenpox.

 

Choice D rationale

Human papillomavirus (HPV) vaccine is recommended for preteens starting at age 11, not 4-year-olds.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Vitamin K has no role in stabilizing blood glucose levels; hypoglycemia in newborns is managed differently.

Choice B rationale

Vitamin K is essential for blood clotting, and newborns typically have low stores at birth, necessitating supplementation to prevent bleeding disorders.

Choice C rationale

There is no established link between maternal fever and the need for vitamin K; prophylaxis is standard for all newborns regardless of maternal health.

Choice D rationale

Newborns do not have sufficient prothrombin or other clotting factors, which is why vitamin K administration is critical.

Correct Answer is ["A","B","C","D"]

Explanation

Step 1 is to convert the child's weight from pounds to kilograms: 28 lb ÷ 2.2 lb/kg = 12.727 kg.

Step 2 is to calculate the dose: 10 mg/kg × 12.727 kg = 127.27 mg.

Step 3 is to determine how many mL is needed: 127.27 mg ÷ (120 mg/5 mL) = 5.3029 mL.

Step 4 is to round to the nearest tenth: 5.3 mL. Final answer: 5.3 mL

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