A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine.
Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?
Allergy to neomycin.
Family history of seizures.
Upper respiratory infection 2 days ago.
Temperature of 37.2°C (99°F).
The Correct Answer is A
An allergy to neomycin is a contraindication for receiving the MMR vaccine.
Choice B is wrong because a family history of seizures is not a contraindication for receiving the MMR vaccine.
Choice C is wrong because an upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine.
Choice D is wrong because a temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine.
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Related Questions
Correct Answer is C
Explanation
A weight loss of 7% indicates that the infant is moderately dehydrated.
Dehydration is classified as mild (3-5% weight loss), moderate (6-10% weight loss), or severe (>10% weight loss)1.
Choice A is wrong because a respiratory rate of 28/min is within the normal range for an infant.
Choice B is wrong because a capillary refill time of 1 second is within the normal range.
Choice D is wrong because bradycardia (a slow heart rate) is not a typical sign of moderate dehydration in infants.
Correct Answer is A
Explanation
Varicella (chickenpox) is highly contagious and can be spread through the air by coughing or sneezing.
Airborne precautions help prevent the spread of the disease to others.
Choice B is wrong because Koplik spots are a symptom of measles, not varicella.
Choice C is wrong because providing a warm blanket is not a specific intervention for a child with varicella.
Choice D is wrong because aspirin should not be given to children with varicella due to the risk of Reye’s syndrome.
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