A 5-month-old child is brought to the pediatric clinic by the parent, who reports the child has had a cough for 4 weeks. When reviewing the child's history, the nurse assesses that the child's last DTaP vaccination was at 2 months of age
Which action by the nurse is the most appropriate?
A.
Inform the provider that both child and parent need antibiotics.
B.
Make an appointment for the next vaccination at 6 months.
C.
Obtain nasal washings for a culture and PCR testing.
D.
Weigh and measure the child; document all findings in the chart.
ANS: C
All children with a chronic cough lasting longer than 3 weeks should have diagnostic testing for pertussis, including nasal washings for culture and PCR tests. This child has the risk factor for pertussis of inadequate immunizations; he should have had a second vaccination at 4 months. The best action by the nurse is to collect the specimens. If positive, both child and caretakers will need antibiotics, as pertussis is highly contagious. The child should receive a booster shot as soon as he is recovered. All children should be weighed and measured and findings documented in the chart.
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