A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

HIB

IPV

Varicella

DTaP

Answer and Explanation

The Correct Answer is C

A. HIB (Haemophilus influenzae type b) vaccine is an inactivated vaccine and can be given to immunocompromised children.
B. IPV (Inactivated Poliovirus Vaccine) is also an inactivated vaccine and can be given to immunocompromised children.
C. Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection in these individuals.
D. DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is an inactivated vaccine and can be administered to immunocompromised children.

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Correct Answer is D

Explanation

A. A history of runny nose and itchy eyes is more indicative of an allergic reaction, not glomerulonephritis.
B. A viral illness is less likely to cause glomerulonephritis compared to a bacterial infection like strep throat.
C. A urinary tract infection is not typically associated with the development of glomerulonephritis.
D. Glomerulonephritis often follows a streptococcal infection, such as strep throat, occurring within the last two weeks. This is known as post-streptococcal glomerulonephritis.

A. Elevated BUN and Creatinine, decreased H & H decreased platelet count B. Hematuria, decreased BUN and elevated Creatinine, negative ASO titer C. Gross hematuria, proteinuria, increased BUN and Creatinine, decreased Sed Rate D. Elevated BUN and Creatinine, Urine specific gravity of 1.030, positive ASO titer

Correct Answer is D

Explanation

A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.

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A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

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Explanation

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Explanation

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