A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (chicken pox). What does the best plan by the nurse include?
1. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin if he develops chicken pox.
2. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin.
3. The child should be brought to the clinic immediately to receive a vaccination for chicken pox.
4. The child should be kept away from other children to avoid further exposure to varicella.
Correct Answer: 2
Rationale 1: Immune globulin is not given after the disease develops.
Rationale 2: Immune globulin must be given before the disease develops.
Rationale 3: The child is immunosuppressed; administering a vaccination for chicken pox could result in developing the disease.
Rationale 4: Keeping the child away from others will not help; the child has already been exposed.
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