A mother brings her 18-month-old son into the clinic for his diphtheria, tetanus, and pertussis vaccine. The child has a runny nose, a fever of 102.4ºF and is coughing. What should the nurse do?
A) Administer the vaccine but monitor the child afterward for an extended time period.
B) Give an antipyretic and administer vaccine when temperature is within normal range.
C) Administer a reduced dose of the vaccine today and a normal dose when child is healthy.
D) Hold the immunization until the child is free of allergic or cold-like symptoms.
D
Feedback:
The nurse should not administer the immunization if the child exhibits signs of acute infection because the vaccine can cause mild infection and can exacerbate acute infections. The child should be free of infection for several days before the immunization is given. Treating the fever, extended monitoring, or smaller doses will not overcome this risk and the only option is to hold the immunization until the child is healthy.
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