A client is believed to have been exposed to the variola virus while working in a laboratory. What should the nurse assess before administering the vaccination to this client?
Standard Text: Select all that apply.
1. White blood cell count
2. HIV status
3. History of eczema
4. Allergy to antibiotics
5. Blood pressure and heart rate
Correct Answer: 1,2,3
Rationale 1: Smallpox vaccinations are contraindicated for persons with an impaired immune system, which would be assessed by the client's current white blood cell count.
Rationale 2: Smallpox vaccinations are contraindicated for persons with impaired immune systems, such as those who are HIV positive.
Rationale 3: Smallpox vaccinations are contraindicated for persons with eczema.
Rationale 4: Antibiotics are not used to treat exposure to smallpox.
Rationale 5: Abnormal blood pressure and heart rate are not contraindications for the use of the smallpox vaccination.
Global Rationale: Smallpox vaccinations are contraindicated for persons with an impaired immune system, which would be assessed by the client's current white blood cell count. They are not indicated for those with HIV or with eczema. Antibiotics are not first line drugs to treat smallpox exposure. Abnormal blood pressure and heart rate are not contraindications for the use of the smallpox vaccination.
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