Author Question: Lacey, a 9-year-old African American girl, has a history of Sickle Cell disease. She is scheduled to ... (Read 63 times)

penza · **on:** Jun 27, 2018

Lacey, a 9-year-old African American girl, has a history of Sickle Cell disease. She is scheduled to receive her polio vaccine today. The nurse knows that she should give the Inactive Poliovirus Vaccine (IPV) because:

1. Lacey's race has a higher risk of reaction to the oral vaccine.
2. Lacey is too old for the oral vaccine.
3. Lacey is at high risk for paralysis because of her immunodeficiency.
4. The oral vaccine is not as effective for females as it is for males.

Question 2

An 18 month old is having a seizure when the nurse is assessing him. The nurse notes that the child is fluttering his eyes and smacking his lips. The nurse should document this seizure as:

1. An absence seizure.
2. A tonic-clonic seizure.
3. A myoclonic seizure.
4. A febrile seizure.

samiel-sayed · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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1. Race does not cause the child to be at a higher risk for polio.
2. Age is not a disqualification for the vaccine.
3. Autoimmune deficiency can increase the occurrence of paralysis if the vaccine if given.
4. Gender does not determine the effectiveness of the vaccine.

Answer to Question 2

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1. Eye fluttering and lip smacking are common characteristics of an absence seizure.
2. A tonic-clonic seizure has stiffening of the muscles. This child is not exhibiting this characteristic.
3. The child is not exhibiting muscle rigidity that is common with myoclonic seizures.
4. The child does not have a fever to cause the seizure.