A -year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for school immunizations, which usually include the DTaP vaccine; varicella virus vaccine [Varivax]; the measles, mumps, and rubella
virus (MMR) vaccine; and the inacti-vated poliovirus vaccine (IPV). The clinic nurse will expect to administer which vaccines to this child? a. All four school immunizations
b. DTaP and IPV only
c. DTaP, OPV, and Varivax only
d. DTaP and IPV, along with immunoglobu-lins
B
Children who are immunocompromised should not receive live virus vaccines, including the MMR vaccine and Varivax. Children taking high-dose systemic glucocorticoids are immuno-compromised and should not receive the vaccine until therapy is stopped and normal glucocorti-coid production returns. The oral polio vaccine (OPV) contains live virus and is contraindicated. Immunoglobulins are not indicated unless children are exposed to the diseases themselves.
You might also like to view...
Megan is a 20-year-old college student who has presented to the campus medical clinic with an unplanned pregnancy
Despite being under significant stress from this event, she has focused herself on doing all she can to maximize her own health and the health of the fetus. What teaching point should the nurse prioritize during patient education with Megan? A) "As much as possible, you should limit yourself to herbal remedies rather than drugs." B) "Quitting smoking will have great benefits both for you and your unborn child." C) "You'll need to take lower doses of medications until you deliver your baby." D) "Unfortunately, you'll have to endure some discomfort because you can't take medications when you're pregnant."
A woman has been hospitalized with pneumonia. She has had oxygen on via nasal cannula at a rate of 2 L per minute. A nursing student is taking her vital signs. She notes that her respirations are labored and the rate is 32 respirations per minute
The nursing student recognizes this as which of the following? a. Normal. b. Tachypnea. c. Bradypnea. d. Apnea.
What does the manager have to remember about a daily list?
A) Is a planning tool, and thus must have flexibility in its implementation B) Should include all the planner's short-term, intermediate, and long-term goals C) Should be highly structured with little time for the unexpected, thus decreasing the possibility of procrastination D) Should not be changed once initial planning is completed
Which of the following statements is an appropriate nursing diagnosis for the homebound cardiac client who has become fatigued upon minimal exertion?
A) Activity intolerance related to decreased cardiac output as evidenced by fatigue B) Decreased cardiac output related to advanced cardiac disease C) Fluid volume excess related to immobility and fatigue D) Immobility related to advanced cardiac disease and frequent fatigue.