Question

question 4
1 pt
a 10-year-old is hit in the head with a baseball during practice and is diagnosed with concussion, even though no loss of consciousness occurred. the primary care nurse practitioner is evaluating the child 2 weeks after the injury and learns that the child is still experiencing some sleepiness every day. the neurological exam is normal. the child and the parent are adamant that the child be allowed to return to play baseball. what will the nurse practitioner recommend?

• continuation of cognitive rest only
• continuation of physical and cognitive rest
• continuation of physical rest only
• returning to play

question 5
1 pts
aaliyah, an 11-year-old female, presents for her annual well exam and vaccines. her last well visit was two years ago (age 9 years) and at that time, her immunizations were up to date. today, you should order:

• dtap/hib/ipv, ipv, pcv
• dtap, ipv, mmrv
• tdap, menactra and hpv
• tdap, men b and hpv

Explanation:

Question 4

For a child with a concussion (even without loss of consciousness) still having symptoms (sleepiness) 2 weeks post - injury, the standard care for concussion recovery involves both physical and cognitive rest until symptoms resolve. Cognitive rest only or physical rest only is insufficient. Returning to play is not advisable while symptoms persist. So the correct option is the one that recommends continuation of physical and cognitive rest.

For an 11 - year - old female, the recommended vaccines at this age include Tdap (tetanus, diphtheria, pertussis), Menactra (meningococcal conjugate vaccine), and HPV (human papillomavirus) vaccine. The other options either include vaccines not typically given at 11 years (like Dtap/HIB/IPV, IPV, PCV which are for younger children or Dtap, IPV, MMRV which is also more for younger ages) or incorrect combinations (Men B is not a routine vaccine at this age in the same way as Menactra for this context).

Answer:

B. Continuation of physical and cognitive rest (assuming the option with this text is labeled as B; if the original option labeling was different, adjust accordingly based on the actual option numbering. From the given image, the selected option is "Continuation of physical and cognitive rest", so the answer is the option with this text.)

Question 5