The nurse is preparing to administer a vaccine to a 14-month-old infant. Which finding would require that the nurse delay the vaccination until the next well-child visit?
1. The child is allergic to a substance in the vaccine.
2. The child has a low-grade fever and a runny nose.
3. The child received a dose of immune globulin two months ago.
4. The child is on antibiotics.
3
Rationale 1: This is a contraindication for this vaccine forever. The child should not receive the vaccine at the next well-child visit or at any other time.
Rationale 2: A mild upper respiratory infection would not be a contraindication for vaccine administration.
Rationale 3: The antibodies in the immune globulin will prevent the child from developing immunity to the vaccination. By the next well-child visit, the immune globulins will not prevent immunity from developing.
Rationale 4: Antibiotic administration will not prevent the development of active immunity.
Global Rationale:
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