NSG 6435 WEEK 3 QUIZ( Graded A+) UPDATE

NSG 6435 WEEK 3 QUIZ. Attempt 1 Submission View Week 3 Quiz Question 1 1 / 1 point What age do children usually begin receiving the human papillomavirus vaccine (HPV)? 8 years 11 years 13 years 15 years Hide Feedback 11 years is the age most providers begin administering the HPV vaccine. Question 2 1 / 1 point When can a child stop using a booster seat in the car? When the child is at least 4’9” tall. When the child is at least 5’ tall. When the child is at least 4’ tall. When the child is at least 3’ tall. Hide Feedback A child should be at least 4’9” before discontinuing the use of the booster seat. Question 3 1 / 1 point A 13-year-old client diagnosed with infectious mononucleosis 2 weeks ago is in your office today c/o abdominal pain to the upper left quadrant, is febrile and tired. Based on the client’s recent history, what is the best intervention? Prescribe Salicylates for the fever Refer to Gastroenterology Prescribe antibiotics Refer to Emergency Services Hide Feedback Splenic rupture may have occurred; refer to ER is best intervention to r/o active bleeding and need for surgical removal of spleen. Question 4 1 / 1 point An established 14-year-old client who recently returned from camp presents to the clinic c/o chills, severe headache, myalgias, malaise, GI upset/tenderness, diarrhea, cough, conjunctival injection, and a fever. On exam, the provider notes a rash of faint pink spots on the wrists, forearms, ankles, and the trunk. What is the most likely diagnosis? Rocky Mountain Spotted Fever Leptospirosis Meningococcemia Thrombotic Thrombocytopenic Purpura Hide Feedback Rocky Mountain Spotted Fever Question 5 0 / 1 point A client with chickenpox who cannot stop itching presents to the clinic requesting relief. What can the provider do to help this client? (select all that apply) Prescribe calamine lotion Prescribe oral antihistamines Prescribe Salicylates Recommend oatmeal baths Hide Feedback All choices are accurate except Salicylates are contraindicated because of Reye Syndrome. All choices are accurate except Salicylates are contraindicated because of Reye Syndrome. Question 6 1 / 1 point An infant can complete hand-to-hand transfers at what age? 90 days 120 days 7 months 11 months Hide Feedback object transfer occurs by 7 months of age. Question 7 1 / 1 point Which is the most appropriate anticipatory guidance for the child diagnosed with fracture through the growth plate? No sports until pain has resolved Use crutches to ambulate until healed Rest, ice, compress and elevate the affected area Exercise affected area using active range-of-motion exercises Hide Feedback Treatment of slipped capital femoral epiphysis is aimed at pre- venting further slippage. Since the goal is no weight bearing and avoiding flexion of the hip, no sports are recommended. Ice would not change the problem in the femoral head, and ROM and exercise are contraindicated. Question 8 1 / 1 point The provider learns that the family of a client recently rescued a cat from the outside. To prevent the risk of toxoplasmosis, which anticipatory guidance is most appropriate? Feed cat well balanced and high-quality food. Wear shoes at all times in the home. Thoroughly wash hands after changing cat litter. Bath cat on a bi-weekly basis Hide Feedback Transmission of toxoplasmosis occurs through handling of cat feces. Pregnant women should avoid contact with cat litter, and others should wash hands thoroughly when handling cat litter. Question 9 1 / 1 point A 9-day-old client presents to the clinic who is sluggish, has a temperature of 97°F, HR 105, cool extremities, and loss of appetite, presents to the clinic. What should the provider do? Recommend parents to allow the client to sleep Reassure parents that this is normal and client will return to baseline in 7 days Recommend formula feeding Refer to ER to rule out sepsis View Feedback Question 10 1 / 1 point The provider understands that a client with a history of hemolytic anemia and a recent diagnosis of erythema infectiosum (fifth disease), is at risk for which complication? Arthritis Papular-purpuric “gloves and socks” syndrome Chronic Infection Aplastic crisis View Feedback ________________________________________ Attempt Score: 9 / 10 - 90 % Overall Grade (highest attempt): 9 / 10 - 90 % Done Diphtheria, Tetanus, and Pertussis . The DTaP is given at two, four, six, fifteen, and eighteen months, with a booster at four or five years. The tetanus, diphtheria, and pertussis (Tdap) immunization is given at eleven to fifteen years. It is recommended that parents or caretakers of young children get the Tdap vaccine as well since most pertussis in infants is transmitted from adults with pertussis. Diphtheria: Although not seen today, it presents as sore throat, mild fever, and swollen gland in the throat. It typically creates a film across the back of the throat. The complications of diphtheria include swelling of the heart muscle, heart failure, coma, and death. Tetanus: It is a disease transmitted primarily from soil through cuts in the skin. It causes muscle spasm, resulting in stiffness in the neck and abdominal muscles, fever, muscle spasms, difficulty in swallowing, and fever Pertussis: It is a disease caused by a bacterium. It is also known as whooping cough because of how it presents. Therefore, it is now recommended that teenagers and adults, who care for young infants, should also get a Tdap booster. Haemophilus: The Haemophilus influenzae (Hib) is a common cause of ear and sinus infections and meningitis in children. The Hib vaccine is administered at two, four, six, fifteen, and eighteen months of age. If a child does get Haemophilus meningitis, there are long-term neurological consequences, in particular hearing loss. Hepatitis: Hepatitis A is a viral pathogen that is transmitted through direct contact or through the ingestion of contaminated food or water. The vaccine is administered at twelve months to two years, with a booster six months later. Hepatitis B vaccine is now given at birth, one, and six months of age. Hepatitis B is a blood- or fluid-borne virus. If the mother of a newborn is hepatitis B positive, there are specific guidelines for immunization. Measles: Measles, mumps, and rubella (MMR) vaccine is a combination vaccine that is usually given at one year of age, with a booster around four or five years of age. This is a live virus vaccine, so some children might get a rash similar to measles about ten days after receiving the vaccine. Mumps: Mumps spreads by direct contact or through the air. It presents with swollen salivary glands under the jaw, fever, headache, fatigue, and muscle pain. Complications from mumps include meningitis, encephalitis, inflammation of the testicles or ovaries, and deafness. Rubella: It also spreads by direct contact and through the air. It may present with a rash, fever, and swollen lymph glands. It is very serious in pregnant women, leading to miscarriage, stillbirth, premature delivery, and birth defects. Chicken Pox: The chicken pox vaccine is given at one year of age. It is also a live virus vaccine. Therefore, some children may develop the classic varicella blisters about twenty-one days after the vaccine. Rotavirus: It is an oral vaccine given at two, four, and six months of age. Rotavirus spreads through the mouth. It causes fever, vomiting, and diarrhea. Polio: Polio is a disease that spreads through the air, by direct contact, and orally. The vaccine is given at two, four, six, and eighteen months. The disease causes symptoms of sore throat, fever, nausea, headache, or no symptoms at all. Pneumococcus: Pneumococcus is a bacterium that spreads through the air or by direct contact. The immunization is given at two, four, six, twelve, and fifteen months. Infected individuals may be asymptomatic or have pneumonia.