A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

HIB

IPV

Varicella

DTaP

Answer and Explanation

The Correct Answer is C

A. HIB (Haemophilus influenzae type b) vaccine is an inactivated vaccine and can be given to immunocompromised children.
B. IPV (Inactivated Poliovirus Vaccine) is also an inactivated vaccine and can be given to immunocompromised children.
C. Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection in these individuals.
D. DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is an inactivated vaccine and can be administered to immunocompromised children.

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Correct Answer is D

Explanation

A. This statement is not appropriate as the nurse is required to report any suspected abuse and cannot promise confidentiality.
B. This statement is too direct and may make the child feel uncomfortable or threatened.
C. This statement places blame and is not supportive or therapeutic.
D. Reassuring the child that they are not to blame is supportive and helps to build trust.

A. “Typically, daycare will not allow children back until after the recheck appointment." B. "Your child can return after 24 to 48 hours of antibiotic use. depending on your school." C. "Once the eyes are no longer red or draining, your child will be able to return to school." D. "Your child will need to complete the course of antibiotics before returning to school.”

Correct Answer is B

Explanation

A. This statement is not accurate as many daycare policies allow children to return after a shorter period if symptoms improve.
B. It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced. Parents should confirm the specific policy with their daycare.
C. While waiting for symptoms to completely resolve is ideal, it is not the most practical or common recommendation.
D. Completing the full course of antibiotics is important for the child's health, but it is not necessary for returning to school.

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A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?

Correct Answer is D

Explanation

A child is starting antibiotic therapy for bacterial conjunctivitis. The parents ask when the child may return to daycare. The nurse's BEST response would be which of the following?

Correct Answer is B

Explanation

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