A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the infant was exposed to a brother who has the flu. Which action by the nurse is most appropriate based on these assessment findings?
Give the infant the flu vaccination but withhold the others.
Withhold the DTaP vaccination but give the others as scheduled.
Withhold the vaccinations.
Give the vaccinations as scheduled
The Correct Answer is D
A. The influenza vaccine is not routinely given before 6 months of age.
B. DTaP is not contraindicated and should be given on schedule.
C. Withholding vaccines unnecessarily delays protection.
D. The presence of a mild illness or exposure to illness (such as flu) is not a contraindication to routine vaccinations. The infant should receive all scheduled vaccines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.3"]
Explanation
Concentration: 160 mg per 5 mL
Formula: (75 mg ÷ 160 mg) × 5 mL = 2.3 mL
Answer: 2.3 mL
Correct Answer is D
Explanation
A. Chronic hypoxemia – This is more typical in cyanotic congenital heart defects but is not a hallmark of PDA.
B. Cyanosis with crying – PDA is an acyanotic defect, meaning it does not typically cause cyanosis.
C. Weak pulses – PDA results in bounding pulses, not weak pulses, due to increased systolic pressure.
D. Systolic murmur – A large patent ductus arteriosus (PDA) allows blood to flow abnormally from the aorta to the pulmonary artery, creating a continuous "machine-like" systolic murmur due to turbulent blood flow.
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