A nurse is caring for a 3-year-old child.

Exhibits

For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.

A. The Hepatitis B vaccine is typically administered in a series of three doses, starting at birth and continuing through the first year of life. By the age of 5, the child should already have completed the Hepatitis B series. Therefore, this vaccine is not usually administered at this age unless there is a missed dose or special circumstances requiring catch-up.
B. The Hib vaccine is given in a series during infancy and early childhood, with the last dose typically administered between 12 and 15 months of age. By the age of 5, most children should have completed the Hib series. Like Hepatitis B, Hib would not generally be administered at this age unless there are specific catch-up needs.
C. The Varicella (chickenpox) vaccine is part of the routine immunization schedule for children. The first dose is typically given between 12 and 15 months of age, and the second dose is administered between 4 and 6 years of age. At 5 years old, the child would be due for the second dose of the Varicella vaccine if not already received. This makes it a relevant immunization for this age group.
D. The Rotavirus vaccine is given in a series to infants, starting at 2 months of age, with subsequent doses typically given at 4 and 6 months. The series should be completed before the child is 8 months old. By age 5, the child should have already completed the Rotavirus series, so this vaccine would not be administered at this age.

A. Educate the child about proper perineal hygiene. Anticipated. This is essential to prevent the recurrence of UTIs.
B. Advise child's guardian about the use of sunscreen. Anticipated. While not directly related to the UTI, protecting the child's skin from sun damage is important overall health.
C. Administer salicylic acid for pain and fever. Contraindicated. Salicylic acid is contraindicated in children due to the risk of Reye's syndrome.
D. Administer sulfamethoxazole and trimethoprim. Anticipated. This is the prescribed medication for the UTI and should be administered as ordered.
E. Ensure the child receives a maximum of 1,200 mL/day of fluid. Anticipated. Adequate hydration is crucial for flushing bacteria from the urinary tract. Restricting fluids is counterproductive.