The nurse is reviewing the immunization schedule with the mother of a child who has HIV. What information should the nurse provide the mother about immunizations for this child? (Select all that apply.)
A) Pneumococcal vaccination can be given.
B) The child should receive live vaccines only.
C) The human papillomavirus vaccine should not be given.
D) The varicella vaccine should not be given if the child is symptomatic.
E) If the CD4 count is low, the measles, mumps, and rubella vaccine should not be given.
A, D, E
Feedback:
The nurse should emphasize that live vaccines should not be given to those infected with HIV. Children should receive routine immunizations according to the usual schedule with the killed virus vaccines, including pneumococcal and human papillomavirus vaccine. Symptomatic children should not receive the varicella vaccine, and those with low CD4 counts should not receive measles, mumps, and rubella (MMR) vaccine.
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