4. n A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the

following actions should the nurse take?

a. Perform the assessment in a head to toe sequence. b. Minimize physical contact with the child initially. c. Explain procedures using medical terminology. d. Stop the assessment if the child becomes uncooperative. Rationale: The nurse should initially minimize physical contact with the toddler, and thenprogress from the least traumatic to the most traumatic procedures. 5. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations andisplanning to attend college. The nurse should inform the client that he should receive whichof thefollowing immunizations prior to moving into a campus dormitory?

a. Pneumococcal polysaccharide

b. Meningococcal polysaccharide

c. Rotavirus

d. Herpes zoster

Rationale: The meningococcal polysaccharide immunization is used to prevent infectionbycertain groups of meningococcal bacteria. Meningococcal infection can cause life-threateningillnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia, which affects the blood. Both of these conditions can be fatal. College freshmen, particularlythose who live in dormitories, are at an increased risk for meningococcal disease relative tootherpersons their age. Therefore, the Centers for Disease Control and Prevention has issued a

recommendation that all incoming college students receive the meningococcal immunization.