Exam 68: Childhood Immunization

A 4 $\frac{1}{2}$ -year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for school immunizations,which usually include the DTaP vaccine; varicella virus vaccine [Varivax]; the measles,mumps,and rubella virus (MMR)vaccine; and the inactivated poliovirus vaccine (IPV). The clinic nurse will expect to administer which vaccines to this child?

A 1-year-old child receives the MMR vaccine. The next day the child's parent calls the nurse to report that the child has a temperature of 103°F. What will the nurse do?

A nurse is preparing to administer vaccines to a 1-year-old child. The parents ask the nurse to give the child acetaminophen before administering the vaccine to reduce the pain. Which response by the nurse is correct?

A 1-year-old child is scheduled to receive the MMR vaccine,pneumococcal vaccine (PCV),Varivax,and hepatitis A vaccine. The child's parents request that the MMR vaccine not be given,saying that,even though there is no demonstrated link with autism,they are still concerned about toxic levels of mercury in the vaccine. Which response by the nurse is correct?

The public health nurse is teaching a group of parents about immunizations. The nurse tells the parents that after receiving the varicella virus vaccine,children should temporarily avoid close contact with whom? (Select all that apply.)

A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse that the child has an immune deficiency disorder. The nurse understands that which vaccine should not be administered to this child?

The nurse at a public health infant immunization clinic is acting as a preceptor for a nursing student. To assess the student's understanding of vaccinations,the nurse asks the student where the hepatitis B vaccine (HepB)should be administered. The student would be correct to respond that the hepatitis B vaccine should be administered in the:

Which are recommended measures to help minimize pain associated with vaccine administration? (Select all that apply.)

An otherwise healthy child receives a varicella virus vaccine. Three weeks later the parent calls to report that the child has a mild case of chickenpox and wonders how this could happen after the vaccination. What will the nurse tell the parent?

A clinic nurse receives a phone call from a parent who states that a 2-month-old infant has a severe cough,a low-grade fever,and a runny nose that have lasted over a week. What will the nurse ask the parent?

An immigrant child is in the clinic for MMR vaccination. The nurse learns that the child has recently received an immune globulin injection for a viral infection,currently has an upper respiratory infection with a temperature of 100°F,and has a recent history of thrombocytopenia,which has resolved. What does the nurse tell the child's parents?

The parent of a 2-month-old infant who has just received the first dose of DTaP asks the nurse about expected reactions to the vaccine. The nurse will respond by saying that:

An 11-year-old boy received all childhood immunizations before attending school as a kindergartner. Which vaccines are recommended for this child at his current age?

A 3-year-old child who has asthma is in the clinic for a well-child checkup. The nurse notes that the child is up-to-date for the DTaP,Hepatitis A,Hepatitis B,and the MMR vaccines but has only had one each of the Hib,the Rotavirus,and the PCV13 vaccines. Which vaccine(s)will the nurse anticipate administering to this child?

The parents of an infant who will be attending day care tell the nurse that they do not want their child vaccinated against rotavirus because an older cousin developed intussusception after receiving this vaccine. Which response by the nurse is correct?

The parent of a child who attends day care questions the need for Varivax. What will the nurse tell the parent?