Health Promotion and Maintenance Practice Question
Question
The nurse is caring for a parent of a toddler and is focused on immunizations scenario 7. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Assess contraindications and reinforce recommended vaccine schedules.
- C. Delegate the clinical assessment and nursing judgment to assistive personnel.
- D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
Correct Answer
B. Assess contraindications and reinforce recommended vaccine schedules.
Explanation
The priority action for immunizations is to assess contraindications and reinforce recommended vaccine schedules. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: medium
- Domain: Health Promotion and Maintenance
- Objective: immunizations