The nurse is working with an immunosuppressed child. A parent points out that the child is due to have oral poliovirus vaccine and a measles-mumps-rubella (MMR) vaccine prior to school starting
The nurse will advise the parent to do which of the following? a. Have the child get the MMR but not the oral poliovirus.
b. Take the child to get the oral poliovirus vaccine but not the MMR.
c. Omit live viral vaccines until the child is no longer immunosuppressed.
d. Talk with the pediatrician about getting gamma globulin with the vaccines.
C
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A Incorrect. The nurse will not advise the parent to have the child get the MMR but not the oral poliovirus. Neither should be given.
B Incorrect. The nurse will not advise the parent to take the child to get the oral poliovirus vaccine but not the MMR. Neither should be given.
C Correct. The nurse will advise the parent to omit live viral vaccines until the child is no longer immunosuppressed. The child is at risk for developing the disease if a live vaccine is given. MMR and oral poliovirus vaccine are live vaccines.
D Incorrect. The nurse will not advise the parent to talk with the pediatrician about getting gamma globulin with the vaccines. Neither vaccine should be given.
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