A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select two)

Choice A: A 13% weight loss is a sign of severe dehydration in an infant, as it indicates a significant loss of body fluids and electrolytes. Dehydration can occur in an infant who has acute gastroenteritis, which is a condition that causes inflammation of the stomach and intestines, leading to vomiting and diarrhea. A 13% weight loss can also cause other signs of dehydration, such as sunken eyes, dry mouth, decreased urine output, and lethargy.

Choice B: A bulging anterior fontanel is not a sign of dehydration in an infant, but rather a sign of increased intracranial pressure, which can be caused by various conditions, such as meningitis, encephalitis, or head trauma. A bulging anterior fontanel can also cause other signs of increased intracranial pressure, such as irritability, headache, vomiting, or seizures.

Choice C: A capillary refill of 3 seconds is not a sign of dehydration in an infant, but rather a sign of normal perfusion and circulation. Capillary refill is the time it takes for the color to return to the nail bed after applying pressure. A normal capillary refill is less than 2 seconds. A prolonged capillary refill of more than 2 seconds can indicate poor perfusion and circulation, which can be caused by various conditions, such as shock, hypothermia, or heart failure.

Choice D: Bradypnea is not a sign of dehydration in an infant, but rather a sign of decreased respiratory rate, which can be caused by various conditions, such as hypoxia, narcotic overdose, or brain injury. Bradypnea can also cause other signs of respiratory distress, such as cyanosis, confusion, or loss of consciousness.

Choice A: Skin cancer is a malignant growth of the skin cells, which can be caused by exposure to ultraviolet radiation, genetic mutations, or immunosuppression. Skin cancer does not affect the mouth and does not cause a white, milky plaque. Skin cancer may cause changes in the color, shape, size, or texture of a mole or a skin lesion.

Choice B: Candidiasis or thrush is a fungal infection of the mouth, which can be caused by overgrowth of Candida albicans, a type of yeast that normally lives in the body. Candidiasis or thrush can occur in people who have a weakened immune system, such as those who have a systemic disorder, take antibiotics, immunosuppressants, or corticosteroids, or have a smoking history. Candidiasis or thrush can cause soreness in the mouth and difficulty eating. Candidiasis or thrush can also cause a white, milky plaque that does not come off with rubbing.

Choice C: Squamous cell carcinoma is a type of skin cancer that affects the squamous cells, which are flat cells that form the outer layer of the skin. Squamous cell carcinoma can occur in areas that are exposed to sun damage, such as the face, ears, lips, or neck. Squamous cell carcinoma does not affect the mouth and does not cause a white, milky plaque. Squamous cell carcinoma may cause a red, scaly, crusty, or bleeding bump or patch on the skin.

Choice D: Herpes simplex is a viral infection that affects the skin and mucous membranes, such as the mouth, lips, genitals, or eyes. Herpes simplex is transmitted by direct contact with an infected person or object. Herpes simplex does not cause a white, milky plaque. Herpes simplex may cause painful blisters or ulcers that burst and form scabs.