Absolute contraindications to vaccine administration in children include (select all that apply)
A History of anaphylactic reaction to a specific vaccine or vaccine component
Moderate local reaction following a dose of an injectable vaccine
Presence of moderate or severe illnesses with or without a fever
Current treatment with antimicrobial medication
Correct Answer : A,C
Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: While methotrexate can help prevent fatal toxicities associated with rheumatoid arthritis, this is not the primary reason for its use in this context.
Choice B rationale: This is correct. Starting methotrexate early in the course of rheumatoid arthritis can help delay the disease process of joint degeneration and prevent irreversible damage.
Choice C rationale: While controlling symptoms is important for the patient's quality of life, starting methotrexate is more about preventing joint damage and progression of the disease than increasing life expectancy.
Correct Answer is C
Explanation
Choice A rationale: "Nausea is not a common side effect of this drug." may not be accurate, and it is important to acknowledge the patient's symptoms.
Choice B rationale: "You should stop taking the medication immediately." is an extreme response and may not be necessary without further assessment.
Choice C rationale: "The nausea will most likely decrease over time." provides reassurance and acknowledges that nausea can be a common side effect that diminishes with continued use.
Choice D rationale: "Try taking the medication on an empty stomach." is a reasonable suggestion to minimize nausea if the medication can be taken without food.
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