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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Related Questions
Correct Answer is C
Explanation
A. At 16 months, toddlers are not expected to speak in full sentences. They typically use one- to two-word phrases.
B. Jumping with both feet is a skill usually seen closer to age 2-3 years, so it is not a concern for a 16-month-old.
C. Inability to stand upright without support at 16 months is a developmental delay and should be reported to the provider for further evaluation.
D. Building a tower of six to seven cubes is a skill expected closer to 2 years of age, so it is not a concern at 16 months.
Correct Answer is ["B","C","D"]
Explanation
A. Delaying the injection may increase the child's anxiety and fear regarding the procedure; it is better to proceed without unnecessary delays.
B. Providing comfort measures after the injection helps to ease the child's distress and provides reassurance during recovery.
C. Accepting and acknowledging the child’s aggressive behavior as a normal reaction to fear helps the child process their feelings, while offering healthy outlets helps manage these feelings.
D. Offering a brief, concrete explanation helps prepare the child for what to expect, reducing anxiety and making the procedure more manageable.
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