Author Question: The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the ... (Read 89 times)

CharlieWard · **on:** Jun 28, 2018

The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination?

a. After 2 months
b. After 3 months
c. After 4 months
d. After 6 months

Question 2

Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurse's instructions to the parents include?

a. Place the tooth in dry container for transport.
b. Hold the tooth by the crown and not by the root area.
c. Transport the child and tooth to a dentist within 18 hours.
d. Take the child to hospital emergency department if his or her mouth is bleeding.

C.mcnichol98 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Hepatitis A vaccine is now recommended for all children beginning at age 1 year (i.e., 12 months to 23 months). The second dose in the two-dose series may be administered no sooner than 6 months after the first dose.

Answer to Question 2

ANS: B
It is important to avoid touching the root area of the tooth. The tooth should be held by the crown area; rinsed in milk, saline, or running water; and reimplanted as soon as possible. The tooth is kept moist during transport to maintain viability. Cold milk is the most desirable medium for transport. The child needs to be seen by a dentist as soon as possible. Tooth evulsion causes a large amount of bleeding. The child will need to be seen by a dentist because of the loss of a tooth, not the bleeding.