what is the appropriate action to take if a child is found to have a fever on the day of immunization

ATI LPN

ATI Proctored Community Health

1. What is the appropriate action to take if a child is found to have a fever on the day of immunization?

A. Administer the vaccine as scheduled
B. Delay the immunization until the fever subsides
C. Give a lower dose of the vaccine
D. Administer an antipyretic before the vaccine

Correct answer: B

Rationale: When a child is found to have a fever on the day of immunization, it is recommended to delay the immunization until the fever subsides. This is important to ensure the child's safety and the vaccine's effectiveness. Administering the vaccine with a fever can potentially worsen the child's condition and reduce the vaccine's ability to generate an appropriate immune response.

2. Which of the following is a component of the Safe Motherhood Initiative?

A. Promoting exclusive breastfeeding
B. Providing routine immunizations
C. Ensuring skilled attendance at birth
D. Offering genetic counseling

Correct answer: C

Rationale: Ensuring skilled attendance at birth is a crucial component of the Safe Motherhood Initiative aimed at reducing maternal and neonatal mortality rates. By having skilled professionals attend births, complications can be identified early and appropriate care provided promptly, contributing to improved maternal and neonatal health outcomes.

3. In calculating the crude death rate of your municipality, with a total population of about 18,000 last year, there were 94 deaths. Among the deceased, 20 died due to heart diseases, and 32 were aged 50 years or older. What is the crude death rate?

A. 4.1/1000
B. 5.2/1000
C. 6.3/1000
D. 7.3/1000

Correct answer: B

Rationale: To calculate the crude death rate, divide the total number of deaths (94) by the total population (18,000) and then multiply by 1,000. This gives a crude death rate of 5.2 deaths per 1,000 population.

4. Primary health care is a total approach to community development. Which of the following is an indicator of success in using the primary health care approach?

A. Health services are provided free of charge to individuals and families
B. Local officials are empowered as the major decision-makers in health matters
C. Health workers can provide care based on identified health needs of the people
D. Health programs are sustained according to the level of development of the community

Correct answer: D

Rationale: Success in utilizing the primary health care approach is indicated by the sustainability of health programs based on the community's development level. This ensures that essential health services can be maintained at all stages of community development, reflecting the core principles of primary health care.

5. What is an advantage of conducting a home visit?

A. It enables the nurse to provide nursing care to a greater number of people
B. It provides an opportunity to conduct a firsthand appraisal of the home situation
C. It allows sharing of experiences among people with similar health problems
D. It fosters the family’s initiative in providing for the health needs of its members

Correct answer: B

Rationale: Conducting a home visit provides an opportunity to conduct a firsthand appraisal of the home situation. This allows healthcare professionals to observe the living conditions, identify potential health hazards, and tailor care plans to the individual's environment. It helps in gaining a better understanding of the patient's lifestyle, social support, and resources available at home, leading to more personalized and effective care.