What immunization should not be given to a child receiving chemotherapy for cancer?

a. Tetanus vaccine
b. Inactivated poliovirus vaccine
c. Diphtheria, pertussis, tetanus (DPT)
d. Measles, mumps, rubella (MMR)


ANS: D
The vaccine used for MMR is a live virus and can cause serious disease in immunocompromised children. The tetanus vaccine, inactivated poliovirus vaccine, and DPT are not live vaccines and can be given to immunosuppressed children. The immune response is likely to be suboptimum, so delaying vaccination is usually recommended.

Nursing

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The client asks the nurse "if she can break her water so that her labor can go faster?" The nurse's response, based on the ethical principle of nonmaleficence, is which of the following? a. Tell the client that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy. b. Have the client write down her request and then call the physician for an order to implement the amniotomy. c. Instruct the client that only a physician or certified midwife can perform this procedure. d. Give the client an enema to stimulate labor.

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