A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?

Verify if the toddler has an allergy to gelatin.

Verify the route of administration for the vaccine.

Inform the guardians that their toddler is too young to receive an influenza vaccine.

Inform the guardians that their toddler will need two more doses of the vaccine within 6 months.

Answer and Explanation

The Correct Answer is A

A. Verifying if the toddler has an allergy to gelatin is important because some vaccines, including the influenza vaccine, may contain gelatin as a stabilizer.

B. Verifying the route of administration is important but has already been specified (subcutaneous).

C. A toddler is an appropriate candidate for the influenza vaccine, and it is recommended annually.

D. A toddler typically receives one dose of the influenza vaccine unless it is the first time receiving it, in which case two doses are needed, but this is usually specified by the provider.

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Correct Answer is A

Explanation

A. Droplet precautions are indicated for children with seasonal influenza, as it is spread through respiratory droplets.

B. Viral conjunctivitis is transmitted through direct contact with eye secretions and does not require droplet precautions.

C. Hepatitis A is spread through fecal-oral transmission, requiring standard precautions, not droplet precautions.

D. Pediculosis capitis (head lice) is spread through direct contact and requires contact precautions, not droplet precautions.

A. "The risk of transmission decreases once my child is on zidovudine for 2 weeks." B. "My child will need to repeat his childhood immunizations once he is in remission." C. "I will ensure that my child is tested for tuberculosis every year." D. "My child will need to double his medications for the next 6 months."

Correct Answer is C

Explanation

A. The risk of transmission is not significantly reduced after just 2 weeks of zidovudine therapy; long-term adherence to the full regimen is necessary.

B. Immunizations for children with HIV should be evaluated based on their immune status, but they typically receive standard childhood immunizations, not repeating them after remission.

C. Children with HIV should be tested for tuberculosis annually due to the increased risk of opportunistic infections.

D. Medications should be taken as prescribed, without doubling the dose unless instructed by a healthcare provider.

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