A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine.
Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?
Allergy to neomycin.
Family history of seizures.
Upper respiratory infection 2 days ago.
Temperature of 37.2°C (99°F).
The Correct Answer is A
An allergy to neomycin is a contraindication for receiving the MMR vaccine.
Choice B is wrong because a family history of seizures is not a contraindication for receiving the MMR vaccine.
Choice C is wrong because an upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine.
Choice D is wrong because a temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine.
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Related Questions
Correct Answer is C
Explanation
Sugar-free cherry gelatin is a soft and cooling food that can make the child more comfortable during recovery and help them heal faster.
Choice Ais wrong because dairy products like chocolate milk can increase mucus production and make stomach upset worse.
Choice Bis wrong because dairy products like vanilla ice cream can increase mucus production and make stomach upset worse.
Choice D is wrong because acidic foods like lime-flavored ice pops may cause discomfort.
Correct Answer is A
Explanation
When a child ingests a toxic dose of acetylsalicylic acid, it can lead to salicylate toxicity, which can cause hyperpyrexia (high fever), among other symptoms such as vomiting, tinnitus, confusion, and dehydration. Hyperpyrexia is a serious complication that can lead to neurological damage and is a medical emergency that requires prompt intervention.
The nurse should monitor the child's temperature and administer antipyretic medications as necessary to reduce the fever.
Choice B is wrong because Polyuria, is not a common symptom of acute acetylsalicylic acid poisoning.
Salicylate toxicity can cause dehydration due to vomiting, which can lead to decreased urine output.
Choice C is wrong because Neck vein distention, is not typically associated with acetylsalicylic acid poisoning.
Neck vein distention is commonly seen in patients with heart failure, tension pneumothorax, or cardiac tamponade.
Choice D is wrong because Jaundice, is not a common symptom of acetylsalicylic acid poisoning. Jaundice is usually seen in liver diseases or hemolytic anemias.
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