A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive measles, mumps, rubella.
Which of the following findings Should the nurse identify as a contradiction for receiving the vaccine?
Allergy to neomycin
upper respiratory infection 2 days ago
temperature of 37.2 (99 Fahrenheit)
family history of seizures
The Correct Answer is A
Choice A rationale
An allergy to neomycin is a contraindication for receiving the measles, mumps, rubella (MMR) vaccine. Neomycin is an antibiotic that is used in some vaccines, including the MMR vaccine, to prevent bacterial contamination during the vaccine’s production. If a child has a known allergy to neomycin, they should not
receive the MMR vaccine because they could have a severe allergic reaction.
Choice B rationale
An upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine. While it’s generally recommended to wait until a child is healthy to give them a vaccine, a mild illness like a cold or upper respiratory infection usually isn’t a reason to delay vaccination.
Choice C rationale
A temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine. This temperature is within the normal range and does not indicate a fever or illness that would prevent vaccination.
Choice D rationale
A family history of seizures is not a contraindication for receiving the MMR vaccine. While febrile seizures can occur in some children after receiving the MMR vaccine, they are rare and are not more likely to occur in children with a family history of seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Performing the examination once every other month is not the recommended frequency. It is generally recommended that males perform a testicular self-examination monthly.
Choice B rationale
Notifying your provider if your testes are firm and egg-shaped may not be necessary, as this is generally considered a normal characteristic of testes. However, any changes in size, shape, or consistency should be reported.
Choice C rationale
Waiting a month after feeling a hard lump is not recommended. If a hard lump is detected during a self-
examination, it should be reported to a healthcare provider immediately, as it could be a sign of testicular cancer.
Choice D rationale
Performing the examination following a warm shower is recommended. The warmth relaxes the scrotum, making it easier to examine the testicles.
Correct Answer is ["A"]
Explanation
The correct answer is choiceA. Your child should walk the bicycle through intersections.
Choice A rationale:
Walking the bicycle through intersections is a key safety measure to prevent accidents.It ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice B rationale:
This is incorrect because the child’s feet should be able to touch the ground comfortably when seated on the bicycle, but not necessarily three to six inches off the ground.Proper seat height is crucial for balance and control.
Choice C rationale:
Keeping the bicycle at least three feet from the curb is not a standard safety recommendation.Instead, children should ride as close to the curb as safely possible, following the flow of traffic.
Choice D rationale:
Riding against the flow of traffic is dangerous and increases the risk of accidents.Bicyclists should always ride with the flow of traffic to be more predictable to drivers.
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