The nurse is discussing recommended immunizations with the mother ...

[RODY.ELKHALIL]

The nurse is discussing recommended immunizations with the mother of an adolescent female. Which immunization would be important for the nurse to include during this discussion?
 
  A) Gardasil
  B) Influenza
  C) Pneumonia
  D) Hepatitis B

Question 2

The nurse is preparing to take a tympanic temperature reading of a 4-year-old. In order to get an accurate reading, what does the nurse need to do?
 
  A) Pull the earlobe back and down
  B) Direct the infrared sensor at the tympanic membrane
  C) Pull the earlobe down and forward
  D) Remove any visible cerumen from inside the ear canal

[xMRAZ]

Answer to Question 1

A
Feedback:
The vaccine Gardasil is recommended as part of routine administration to both early teenage girls and boys to prevent human papillomavirus infections. The nurse should approach the subject of immunization with parents and teenagers with sensitivity because some parents and children are not ready to admit they might be or will soon become sexually active. Influenza vaccination should already be a part of the adolescent's routine vaccinations. Hepatitis B vaccination should have been completed at birth and during the first year of life. Pneumonia vaccination is indicated for those in high-risk groups with respiratory illnesses.

Answer to Question 2

B
Feedback:
The accuracy of tympanic temperature reading is dependent upon appropriate technique. The nurse needs to be sure to direct the infrared sensor at the tympanic membrane. Since the child is older than age 3, the earlobe does not need to be pulled back and down. The nurse would not remove earwax from inside the ear canal.

[RODY.ELKHALIL]

Excellent

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