A nurse is caring for a 6-month-old child. The child's provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?
New onset of seizure disorder in the child's sibling
Evidence of sensitivity to egg antigens
Afebrile otitis media
Temperature of 40.5° C (104.9° F) after last DTaP
The Correct Answer is D
A. New onset of seizure disorder in the child's sibling: This does not contraindicate DTaP vaccination unless the child itself has a history of seizures or neurological disorders.
B. Evidence of sensitivity to egg antigens: DTaP vaccine is not contraindicated by egg allergy; this is more relevant to influenza vaccines.
C. Afebrile otitis media: This is not a contraindication for DTaP vaccination.
D. Temperature of 40.5° C (104.9° F) after last DTaP: A high fever following a previous dose of DTaP may indicate a severe reaction, necessitating caution or further evaluation before administering another dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You will need to take the entire prescription of antibiotics even if your symptoms improve." Atopic dermatitis is typically not treated with antibiotics unless there is a secondary bacterial infection. The standard treatment usually involves topical corticosteroids and emollients.
B. "The doctor will remove the lesions with liquid nitrogen." This is incorrect as liquid nitrogen is used for treating warts and certain types of skin lesions, not atopic dermatitis.
C. "The doctor might recommend an antihistamine to help control your symptoms." This is a correct statement. Antihistamines can help reduce itching and provide relief, which is a common symptom of atopic dermatitis.
D. "You can relieve your child's discomfort by applying warm compresses to the lesions." Warm compresses are not typically recommended for atopic dermatitis. Cool compresses or baths are more beneficial to reduce itching and inflammation.
Correct Answer is D
Explanation
A. Beriberi: Incorrect. Caused by a deficiency in thiamine (Vitamin B1), not linked to high milk consumption.
B. Dehydration: Incorrect. Milk intake can contribute to hydration, though it should not replace water.
C. Diabetes mellitus: Incorrect. High milk consumption is not directly linked to diabetes in toddlers.
D. Iron-deficiency anemia: Correct. Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods, leading to reduced iron intake.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.