During a preventive health visit, a nurse collects a health history from a client who is requesting the live attenuated influenza vaccine (LAIV) via nasal spray. Which of the following client statements indicate a contraindication for this specific vaccine and require the nurse to withhold the immunization? (Select all that apply.)
- I am currently taking immunosuppressant medication for rheumatoid arthritis.Answer
- I recently found out that I am in my first trimester of pregnancy.Answer
- CI develop a mild skin rash whenever I eat scrambled eggs.
- DI woke up with a slightly scratchy throat and a temperature of 99.2°F (37.3°C).
- EI have a severe allergy to penicillin and carry an epinephrine auto-injector.
Answer
The statements indicating a contraindication for the live attenuated influenza vaccine (LAIV) are being pregnant and taking immunosuppressant medications.
Live attenuated vaccines, such as the nasal spray influenza vaccine (LAIV), are strictly contraindicated for clients who are pregnant or immunocompromised. These individuals have weakened immune systems or altered immune responses, placing them at high risk for developing a severe infection from the live virus strain present in the vaccine.
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Key Concept
Contraindications for Live Attenuated Vaccines