A mother brings a 15-month-old child to the clinic for a routine health maintenance visit. Which immunization should the nurse prepare to administer to this child?

A. Painting pictures in the art corner of the room:

Painting pictures in the art corner can be a fun and creative activity for preschoolers. It allows them to express themselves through art and develop fine motor skills. However, it might not be a group activity unless they are sharing materials and ideas.

B. Watching a movie with other children their age:

Watching a movie can be an enjoyable activity for preschoolers, especially if the content is age-appropriate. However, it is a passive activity, and group interactions might be limited during the movie.

C. Playing a board game:

Playing a board game can be a good group activity that involves turn-taking, following rules, and social interaction. However, some board games may be more suitable for older children who have developed certain cognitive and social skills.

D. Pretending to be mommies and daddies in the playhouse:

Pretend play, such as pretending to be mommies and daddies in a playhouse, is a developmentally appropriate and common activity for preschoolers. It encourages imaginative play, role-playing, and social interaction, helping with emotional and social development.

A. Preventing spread of infection:

This is the highest priority goal because individuals with acquired immunodeficiency syndrome (AIDS) have a severely compromised immune system, making them more susceptible to infections. Preventing the spread of infection is crucial not only for the individual's well-being but also to reduce the risk of transmitting the virus to others.

B. Maintaining skin integrity:

Skin integrity is important, but it may not be the highest priority compared to preventing the spread of infection. Skin breakdown can occur in individuals with compromised immune systems, making them more susceptible to infections, but direct measures to prevent infection take precedence.

C. Improving nutrition:

Nutrition is vital for overall health, including immune function. However, in the context of AIDS, preventing the spread of infection is considered a higher priority. Nutritional support is important but may be addressed concurrently with other goals.

D. Promoting comfort:

Comfort is an important aspect of care, but it may not be the highest priority when compared to preventing the spread of infection. Comfort measures can be integrated into the overall care plan, but infection prevention takes precedence due to the immunocompromised state of the individual.