The nurse is preparing to administer a vaccine to a 14-month-old toddler. Which assessment factor would warrant a delay in the scheduled vaccination during the 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 2 months ago.
4. The child is on antibiotics.
3
Explanation:
1. A vaccine allergy contradicts the administration of the vaccine for life. This factor does not warrant a delay. The child should not receive the vaccine at the next well-child visit or at any other time.
2. A mild upper respiratory infection would not be a contraindication for vaccine administration.
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.
4. Antibiotic administration will not prevent the development of active immunity.
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