A nurse is reviewing the medical record of a child who is scheduled to receive a varicella immunization. Which of the following findings in the client's record should the nurse recognize as a contraindication?
Chemotherapy treatments
Medications for a cardiac anomaly
Clear rhinorrhea
Two diarrhea stools on the last day
The Correct Answer is A
Chemotherapy treatments, which are used to treat cancer, can suppress the immune system and weaken the body's ability to respond to vaccines. As a result, receiving a live attenuated vaccine like the varicella immunization can pose a risk of severe complications for individuals undergoing chemotherapy. Therefore, it is contraindicated to administer the varicella vaccine in this case.
Medications for a cardiac anomaly, clear rhinorrhea, and two diarrhea stools in the last day are not contraindications for receiving a varicella immunization.
While medications for a cardiac anomaly and certain medical conditions may require special consideration or precautions when administering vaccines, they are not absolute contraindications for the varicella vaccine. The decision to administer the vaccine would depend on the individual's specific circumstances and the healthcare provider's assessment.
Clear rhinorrhea (runny nose) and two diarrhea stools on the last day are considered minor illnesses and do not contraindicate the varicella vaccine. Generally, mild illnesses without fever or systemic symptoms do not pose a significant risk when receiving vaccines. However, it is always important to assess the overall health status of the individual and consult with a healthcare provider if there are concerns.
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Related Questions
Correct Answer is D
No explanation
Correct Answer is D
Explanation
Correct answer: D
A) Encouraging the client to discuss the decision with her family can provide emotional support and help in decision-making.
B.Given that the client has already decided to stop dialysis treatment, discussing alternative treatment methods may not align with the client's wishes. It's essential for the nurse to respect the client's decision and provide support rather than trying to persuade the client to reconsider their decision.
C) Asking the facility chaplain to visit the client can offer emotional and spiritual support, addressing the client's needs in that aspect.
D. Supporting the client's decision to stop dialysis treatment is essential for respecting the client's autonomy and dignity. The nurse should provide emotional support, educate the client about what to expect, and ensure that appropriate palliative care measures are in place to keep the client comfortable and provide symptom management.
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