Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

Influenza vaccine

(MMR) vaccine and Varicella vaccine

Polio vaccine

Hepatitis vaccine

Answer and Explanation

The Correct Answer is B

A. Influenza vaccine – Incorrect. The inactivated influenza vaccine is safe and recommended.

B. MMR vaccine and Varicella vaccine – Correct. Live vaccines should be avoided for 11 months after receiving IV immunoglobulin therapy for Kawasaki disease, as it can interfere with vaccine efficacy.

C. Polio vaccine – Incorrect. The inactivated polio vaccine (IPV) is safe; however, the oral live polio vaccine (OPV) is not recommended in some cases.

D. Hepatitis vaccine – Incorrect. The hepatitis B vaccine is not a live vaccine and can be safely given.

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Correct Answer is B

Explanation

A. Encouraging the child to be more physically active to increase calorie expenditure. – Incorrect. A child with failure to thrive (FTT) requires adequate caloric intake, and excessive activity could further contribute to weight loss.

B. Provide education on growth and development and parenting skills. – Correct. Many cases of FTT result from inadequate nutrition due to parental knowledge deficits. Educating parents on feeding techniques and child development helps promote growth.

C. Restricting fluids to prevent excessive weight gain. – Incorrect. FTT is characterized by inadequate weight gain, not excessive weight. Hydration is essential for overall health.

D. Encouraging the child to eat less to promote weight loss. – Incorrect. The goal of FTT management is to increase caloric intake to support proper growth and development.

A. Presence of dance sign B. Always seems full C. Projectile vomiting D. Excessive weight gain

Correct Answer is C

Explanation

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

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Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is an appropriate nursing intervention for a child with failure to thrive?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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