A nurse is caring for a child who has influenza. The nurse should identify which of the following statements by the parent indicates the child has an increased risk for Reye syndrome.

Choice A: Hepatitis B (HepB) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. Hep B vaccine is recommended for all infants at birth and children up to 18 years of age.

Choice B: Inactivated poliovirus (IPV) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. IPV vaccine is recommended for all children at ages 2, 4, and 6 to 18 months and at ages 4 to 6 years.

Choice C: Influenza, live attenuated (LAIV) vaccine is contraindicated for a child who has an allergy to eggs, as it contains egg protein that can cause an allergic reaction. LAIV vaccine is a nasal spray that contains live but weakened influenza viruses. LAIV vaccine is recommended for healthy children aged 2 years and older who do not have chronic medical conditions or other contraindications.

Choice D: Haemophilus influenzae type b (Hib) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. Hib vaccine is recommended for all children at ages 2, 4, and 6 months and at ages 12 to 15 months.

Choice A reason: This choice is correct because providing a latex-free environment is an essential intervention for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Spina bifida is a congenital defect in which the spinal cord and its coverings do not close properly, resulting in a protrusion of the meninges (meningocele) or the meninges and spinal cord (myelomeningocele). Children who have spina bifida are at a high risk of developing a latex allergy, which can cause severe reactions such as anaphylaxis or death. Therefore, avoiding exposure to latex products such as gloves, catheters, balloons, or bandages is crucial to prevent complications.

Choice B reason: This choice is incorrect because initiating contact precautions is not necessary for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Contact precautions are infection control measures that prevent the transmission of microorganisms that can be spread by direct or indirect contact with the client or their environment. They may be indicated for clients who have multidrug-resistant organisms, clostridium difficile, or scabies, but they are not required for clients who have spina bifida unless they have a concurrent infection.

Choice C reason: This choice is incorrect because limiting visitors to immediate family members is not indicated for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Limiting visitors may be indicated for clients who have immunosuppression, isolation, or terminal illness, but it may not be beneficial for clients who have spina bifida. Allowing visitors may provide emotional and social support for the client and their family, as long as they follow standard precautions and do not pose any risk of infection or injury.

Choice D reason: This choice is incorrect because maintaining the infant in the supine position is not an appropriate intervention for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac.
Maintaining the infant in the supine position may cause pressure or trauma to the sac, which can lead to rupture, infection, or nerve damage. Therefore, positioning the infant in a prone or side-lying position with the hips flexed and knees abducted can help to protect the sac and prevent complications.