A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?

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Question 1 of 5

A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?

Correct Answer: A

Rationale: MMR (live vaccine) is delayed post-Kawasaki due to recent IVIG, which may reduce vaccine efficacy.

Question 2 of 5

A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include

Correct Answer: C

Rationale: Aging population and chronic illness prevalence drive reform due to increased demand and costs.

Question 3 of 5

In assessing a post partum client, the nurse palpates a firm fundus and observes a constant trickle of bright red blood from the vagina. What is the most likely cause of these findings?

Correct Answer: B

Rationale: Bright red trickle with a firm fundus suggests lacerations, not atony (soft fundus).

Question 4 of 5

A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:

Correct Answer: D

Rationale: Elevated BUN, HCT, Cl, and Na+ with normal creatinine suggest dehydration, not renal failure.

Question 5 of 5

An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?

Correct Answer: C

Rationale: Initial drainage ensures patency and prevents aspiration before feeding begins.

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