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
Explanation
A.This statement reflects the client's emotional response to their condition, which is important to address, but it does not indicate a need for immediate medical intervention.
B.Psoriasis is a chronic skin condition characterized by the rapid buildup of skin cells, resulting in thick, red, scaly patches on the skin. Treatment for psoriasis often involves the use of topical medications that are applied to the affected areas. This is a good practice. Old medication should be removed before applying a new dose to ensure the effectiveness of the treatment.
C.This is a reasonable practice as some fabric softeners may contain ingredients that can irritate sensitive skin, including the skin affected by psoriasis. Avoiding fabric softeners or using hypoallergenic alternatives can help reduce potential irritation.
D.Sunlight exposure can actually be beneficial for clients with psoriasis, as ultraviolet (UV) light can help reduce the growth of skin cells and alleviate symptoms. If the client is limiting their sunlight exposure, they might be missing out on a potential therapeutic benefit. However, it is important to balance sun exposure and avoid overexposure to prevent skin damage.
Correct Answer is ["A","B","D"]
Explanation
The nurse should take the following actions when receiving a telephone prescription from a client's provider:
- Ask the provider to spell out the name of the medication: This is important to ensure accurate transcription of the medication name. Spelling out the name helps prevent errors due to similar-sounding medications or confusion with abbreviations.
- Request that the provider confirm the read-back of the prescription: This step ensures that the nurse and the provider are on the same page and that the prescription has been accurately transcribed. It allows for verification and correction if any discrepancies are identified.
- Record the date and time of the telephone prescription: Documenting the date and time of the telephone prescription is essential for tracking and reference purposes. It helps establish a clear timeline of events and ensures proper documentation of the medication order.
It is not necessary to withhold the medication until the provider signs the prescription, as telephone prescriptions are typically followed up with a written prescription or electronic verification.
Instructing another nurse to record the prescription in the medical record may not be necessary, as the nurse who received the telephone prescription is responsible for accurately documenting the order in the medical record. However, if necessary, the nurse can delegate the task of documentation to another qualified staff member under their supervision, ensuring accuracy and completeness.
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