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    Ati rn pediatrics 2023 proctored exam

    A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?

    Explanation & Rationale

    A. The Hepatitis B vaccine is typically administered in a series of three doses, starting at birth and continuing through the first year of life. By the age of 5, the child should already have completed the Hepatitis B series. Therefore, this vaccine is not usually administered at this age unless there is a missed dose or special circumstances requiring catch-up. B. The Hib vaccine is given in a series during infancy and early childhood, with the last dose typically administered between 12 and 15 months of age. By the age of 5, most children should have completed the Hib series. Like Hepatitis B, Hib would not generally be administered at this age unless there are specific catch-up needs. C. The Varicella (chickenpox) vaccine is part of the routine immunization schedule for children. The first dose is typically given between 12 and 15 months of age, and the second dose is administered between 4 and 6 years of age. At 5 years old, the child would be due for the second dose of the Varicella vaccine if not already received. This makes it a relevant immunization for this age group. D. The Rotavirus vaccine is given in a series to infants, starting at 2 months of age, with subsequent doses typically given at 4 and 6 months. The series should be completed before the child is 8 months old. By age 5, the child should have already completed the Rotavirus series, so this vaccine would not be administered at this age.

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