The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine. What are the general contraindications associated with receiving a live virus vaccine? (Select all that apply).
The mother reports that the child is having intermittent episodes of diarrhea
Mother reports that the child has recently been exposed to an infectious disease
The child has a disorder that caused a severely deficient immune system
The child has symptoms of a cold
The child had a previous anaphylactic reaction to the vaccine
Correct Answer : C,E
A. Mild diarrhea is not generally a contraindication for receiving a live virus vaccine.
B. Recent exposure to an infectious disease, unless it’s the disease in question, is not a contraindication.
C. Children with severe immunodeficiency are contraindicated from receiving live virus vaccines, as their weakened immune system cannot handle the live attenuated virus.
D. Mild cold symptoms are typically not a contraindication for live virus vaccines.
E. A previous anaphylactic reaction to a vaccine is a strict contraindication to receiving that vaccine again due to the risk of a life-threatening allergic reaction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Descriptive words might be confusing for a 4-year-old and may not accurately capture their experience of pain.
B. The faces pain scale is effective for young children as it uses visual cues that they can relate to, making it easier for them to express their pain level.
C. While observing the child’s behavior can provide insights, it does not give a direct assessment of pain.
D. Rating pain on a scale of one to ten may be difficult for a child this age, as they may not fully understand numerical values.
Correct Answer is B
Explanation
A. Administering iron at bedtime may not be ideal as it can cause gastrointestinal discomfort and should be monitored.
B. Giving ferrous sulfate with orange juice is recommended because vitamin C enhances the absorption of iron, making the treatment more effective.
C. Milk can inhibit the absorption of iron, so it should not be given with iron supplements.
D. While administering at mealtimes can help with tolerance, it’s more effective to give it with vitamin C for better absorption.
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