For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.
4-year-old child with Down Syndrome.
6-month-old developmentally appropriate infant.
15-month-old child with autism.
10-year-old with acquired immune deficiency syndrome (AIDS).
12-year-child with an arm fracture.
For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.
Correct Answer : C,D
Choice A rationale:
The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.
Choice B rationale:
A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.
Choice C rationale:
The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.
Choice D rationale:
The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.
Choice E rationale:
A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
Hypoplastic left heart syndrome involves inadequate development of the left side of the heart, leading to systemic hypoperfusion. It is characterized by decreased pulmonary blood flow due to underdeveloped left heart structures.
Choice B rationale:
Tetralogy of Fallot is characterized by obstruction to blood flow, specifically pulmonary stenosis, which obstructs blood flow from the right ventricle to the pulmonary artery.
Choice C rationale:
Atrial Septal Defect (ASD) is a left-to-right shunt, leading to increased pulmonary blood flow. This occurs because oxygenated blood from the left atrium flows back into the right atrium and then into the pulmonary circulation.
Choice D rationale:
Aortic Stenosis is not correctly matched with its hemodynamic classification. Aortic stenosis involves obstruction to blood flow from the left ventricle to the aorta.
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
An adult's immune system does not prevent infection with Rotavirus. Adults can also be infected, although the severity of illness tends to be milder than in infants and young children.
Choice B rationale:
The highest rates of Rotavirus illness do occur in infants and young children. This is because young age groups have a lower level of immunity and are more susceptible to severe infections.
Choice C rationale:
The best treatment to prevent Rotavirus transmission is appropriate hand washing. Rotavirus is highly contagious and can be transmitted through contaminated hands, surfaces, and objects.
Choice D rationale:
Epidemics of Rotavirus do not specifically occur in the months from November to April. Rotavirus infections can occur throughout the year, with seasonal variation.
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