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Zorluk: KolayHealth Promotion and Disease Prevention

A practical nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 24-year-old female client at a community health clinic. Which assessment is the highest priority for the nurse to complete before administering this live-attenuated vaccine?

  1. Determining if the client could currently be pregnant.Cevap
  2. B
    Checking if the client currently has a mild cough and runny nose.
  3. C
    Asking if the client follows a cultural or religious vegetarian diet.
  4. D
    Reviewing the client's medical history for delayed childhood motor milestones.

Cevap

Determining if the client could currently be pregnant is the highest priority assessment.
The MMR vaccine contains live-attenuated viruses. Administering a live vaccine to a pregnant client is strictly contraindicated because the virus can cross the placenta and pose a significant risk of infection and developmental harm to the fetus. Therefore, verifying pregnancy status in a female of childbearing age is the absolute top safety priority prior to administration.

Adım Adım Çözüm

1
Identify the type of vaccine being administered.
The MMR vaccine is classified as a live-attenuated virus vaccine.
Vaccine classification determines specific administration safety protocols and absolute contraindications.
2
Recall the primary contraindications for live-attenuated vaccines.
Live vaccines are strictly contraindicated in individuals who are pregnant or severely immunocompromised.
Live viruses can cross the placental barrier and potentially cause congenital infection or severe harm to the developing fetus.
3
Evaluate the client's demographic profile to prioritize nursing assessments.
Because the client is a 24-year-old female of childbearing age, pregnancy screening is mandatory.
The nurse must verify that no absolute contraindications exist before safely proceeding with health promotion interventions.

Anahtar Kavram

Contraindications for Live-Attenuated Vaccines
Tahmini Süre:45s
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Konular

Health Promotion and Disease Prevention

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