A nurse is preparing to administer recommended immunizations to a 4-year-old child who is up-to-date on current immunizations and severely immunocompromised. Which of the following immunizations should the nurse plan to administer?
Measles, mumps, and rubella (MMR)
Diphtheria, tetanus, and acellular pertussis (DTaP)
Varicella (Var)
Live attenuated influenza vaccine (LAIV)
The Correct Answer is B
A. The MMR vaccine contains live attenuated viruses, which can pose a risk to severely immunocompromised children. This vaccine should not be administered to immunocompromised children unless otherwise advised by a specialist.
B. The DTaP vaccine is an inactivated vaccine and is safe to administer to immunocompromised children. It does not contain live viruses and is recommended for children in this age group.
C. The varicella vaccine is a live attenuated vaccine, which can be risky for immunocompromised children. The nurse should avoid administering this vaccine unless explicitly directed by the healthcare provider.
D. The LAIV is a live attenuated vaccine, which is not recommended for children who are severely immunocompromised. Alternative inactivated flu vaccines should be used.
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Related Questions
Correct Answer is C
Explanation
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
Correct Answer is D
Explanation
A. Performing a head tilt and chin lift is typically used in resuscitation for unresponsive infants, not for choking. It is not effective in clearing an obstructed airway in a conscious or choking infant.
B. Placing the infant in a side-lying position and performing abdominal thrusts is incorrect. Abdominal thrusts are not recommended for infants. Back blows and chest thrusts are used to clear an infant's airway.
C. Suctioning with a bulb syringe is appropriate for clearing mucus or secretions from the airway, but it would not be effective for a choking infant. The first action should be to attempt back blows or chest thrusts.
D. Delivering back blows with the infant face down over the rescuer’s arm is the correct initial action. The infant should be supported by the arm, and back blows should be administered to try to expel the obstruction from the airway. This is the first step in the infant choking protocol.
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