A nurse at a health department is participating in an immunization clinic.
Which child should the nurse identify as requiring a modification in the standard immunization schedule?

Choice A rationale

Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.

Choice B rationale

Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.

Choice C rationale

This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.

Choice D rationale

Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.

Choice A rationale

While it’s important to respect a client’s wishes and provide a supportive environment, avoiding the client’s health status may not be beneficial. Open communication about the client’s condition can help in planning and providing appropriate care.

Choice B rationale

Providing quiet time during visits for prayer or meditation can be a valuable part of a care plan for a client with end-stage breast cancer. This can offer spiritual comfort and peace, which can enhance the client’s quality of life.

Choice C rationale

Placing the client’s name and medical condition on an online prayer chain may not be appropriate without the client’s explicit consent due to privacy concerns.

Choice D rationale

Recommending the client seek out hospice services rather than seek treatment may not be the best approach. The decision between pursuing treatment and entering hospice care should be made by the client and their healthcare team.