MCN 374 Final EXAM Questions With Answers Latest Updated 2024 (Graded A+)

MCN 374 Final EXAM Questions With Answers Latest Updated 2024 (Graded A+) A nurse is providing information to a group of new mothers. Which statement best explains why newborns and young infants are more susceptible to infection? 1. They have high levels of maternal antibodies to diseases to which the mother has been exposed. 2. They have passive transplacental immunity from maternal immunoglobulin G. 3. They have immune systems that are not fully mature at birth. 4. They have been exposed to microorganisms during the birth process. - correct answers 3. They have immune systems that are not fully mature at birth. Newborns have a limited storage pool of neutrophils and plasma proteins to defend against infection. Newborns and young infants high levels of maternal antibodies, passive transplacental immunity, and exposure to microorganisms during the birth process are all true but are incorrect answers because they do not explain the susceptibility of newborns and young infants to infection. The nurse is discussing ways to treat fever in the home environment to a group of parents in the community. Which statement is appropriate for the nurse to include in the presentation? 1. Ibuprofen is the only effective means to reduce fever. 2. If the child requires more than one dose of acetaminophen antibiotics are needed. 3. Purchase a new bottle of acetaminophen for your newborn because it will have recommended medication concentration. MCN 374 EXAM 2: Ch 16, 21, 22, 23, 29 (Answered Questions) Latest Update 2023 (Graded A+) 4. It is not necessary to follow the recommendations on the bottle of ibuprofen as this will not prevent an overdose for your child. - correct answers 3. Purchase a new bottle of acetaminophen for your newborn because it will have recommended medication concentration. The recommendation to purchase a new bottle of acetaminophen due to recommended medication concentrations is an appropriate statement for the nurse to include in the teaching session. The other statements are inaccurate or inappropriate for the nurse to include in the teaching session 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. The nurse may also give which of immunizations during the same well-child-care appointment? 1. Var (varicella) 2. TIV (influenza) MCN 374 EXAM 2: Ch 16, 21, 22, 23, 29 (Answered Questions) Latest Update 2023 (Graded A+) 3. MMR (measles, mumps, rubella) 4. Haemophilus influenza type B (HIB) - correct answers 4. Haemophilus influenza type B (HIB) Haemophilus influenza type B (HIB) vaccine is given at 2, 4, 6, and 1215 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 1215 months and 46 years of age (two doses). Varicella (Var) is given at 1218 months or any time up to 12 years for one dose; for 13 years and older two doses are given, 48 weeks apart. A mother refuses to have her child be immunized with measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which response by the nurse is most appropriate? MCN 374 EXAM 2: Ch 16, 21, 22, 23, 29 (Answered Questions) Latest Update 2023 (Graded A+) 1. Honor her request because she is the parent. 2. Explain that antibodies can fight many diseases. 3. Tell her that not immunizing her infant may protect pregnant women. 4. Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases. - correct answers 4. Explain that if her child contracts measles, mumps, or rubella, there could be very serious and permanent complications from these diseases. Explaining that if her child contracts measles, mumps, or rubella, he could have very serious and permanent complications from these diseases is correct because measles, mumps, and rubella all have potentially serious sequelae, such as encephalitis, brain damage, and deafness. Honoring her request is not correct because the nurse has a professional duty to explain MCN 374 EXAM 2: Ch 16, 21, 22, 23, 29 (Answered Questions) Latest Update 2023 (Graded A+) that the mothers belief about immunizations is erroneous and may result in harm to her infant. Explaining that antibodies can fight many diseases is not correct because the body makes antibodies that are specific to antigens of each disease. Antibodies for one disease cannot fight another disease. Telling her that not immunizing her infant may protect pregnant women is not correct because immunizing the infant with MMR vaccine will help protect pregnant women from contracting rubella by decreasing the transmission. If a pregnant woman contracts rubella, her fetus can be severely damaged with congenital rubella syndrome. A parent reports that her school-age child, who has had all recommended immunizations, had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. Which disease process does the nurse suspect based on the parents description? 1. Chicken pox (varicella) 2. German measles (rubella) 3. Roseola (exanthem subitum) MCN 374 EXAM 2: Ch 16, 21, 22, 23, 29 (Answered Questions) Latest Update 2023 (Graded A+) 4. Fifth disease (erythema infectiosum) - correct answers 4. Fifth disease (erythema infectiosum) Fifth disease manifests first with a flulike illness, followed by a red slappedcheek sign. Then a lacy maculopapular erythematous rash spreads symmetrically from the trunk to the extremities, sparing the soles and palms. Varicella (chicken pox) and rubella (German measles) are unlikely if the child has had all recommended immunizations. The rash of varicella progresses from papules to vesicles to pustules. The rash of rubella is a pink maculopapular rash that begins on the face and progresses downward to the trunk and extremities. Roseola typically occurs in infants and begins abruptly with a high fever followed by a pale pink rash starting on the trunk and spreading to the face, neck, and extremities. The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a 6-month-old infant. To administer this injection safely, the nurse chooses which needle, size and length, injection type, and injection site? MCN 374 EXAM 2: Ch 16, 21, 22, 23, 29 (Answered Questions) Latest Update 2023 (Graded A+) 1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh. 2. 22-gauge, 1/2-inch needle; IM (intramuscular); ventrogluteal. 3. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid. 4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh. - correct answers 1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh.