It is May, and a mother brings in her 3-year-old son, who has had a harsh whooping cough, runny nose, and watery eyes for the past five days. What would be the most appropriate question to ask the mother?
1. Are the child's immunizations up-to-date, including his Tdap vaccine?
2. Did the child receive his Hib vaccine?
3. Have you taken the child outside in the rain? If so, what happened?
4. When was the last time your child was ill?
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1. Up-to-date immunizations will include the Tdap vaccine. If the child has had the vaccine the occurrence/severity of the illness is less.
2. Hib does not include the Whooping Cough vaccine. The question would not be appropriate at this time.
3. Weather does not influence the vaccines.
4. Past illnesses is not the focus of the current assessment and is not appropriate at this time.
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