A parent says, "I have heard that some of the vaccines contain the microbe that causes the actual disease. Can that be true?" How should the nurse respond?
1. "The microbes are live but are weakened."
2. "That is true, but they do not cause disease."
3. "The measles, mumps, and rubella vaccine is an example."
4. "No, all microbes used in vaccines are killed."
5. "This only occurs in toxoid vaccines."
1,3
Rationale 1: These are called attenuated vaccines. The microbes are weakened.
Rationale 2: These vaccines can cause disease in those who are immunocompromised.
Rationale 3: MMR is an example of such a vaccine.
Rationale 4: Not all vaccines are made with killed microbes.
Rationale 5: Toxoid vaccines contain bacterial toxins.
Global Rationale: These are called attenuated vaccines. The microbes are weakened. MMR is an example of such a vaccine. These vaccines can cause disease in those who are immunocompromised. Not all vaccines are made with killed microbes. Toxoid vaccines contain bacterial toxins.
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