Examkin

Soru

Zorluk: OrtaHealth Promotion and Disease Prevention

A practical nurse is reviewing health records for several infants who are scheduled to receive routine immunizations. The nurse should recognize that the rotavirus vaccine can be safely administered to which infant?

  1. A
    A 4-month-old infant who has a documented medical history of intussusception.
  2. B
    A 6-month-old infant who was recently diagnosed with severe combined immunodeficiency (SCID).
  3. A 2-month-old infant who has a mild upper respiratory tract infection and clear nasal discharge.Cevap
  4. D
    A 4-month-old infant who is currently receiving high-dose oral corticosteroids for an autoimmune condition.

Cevap

The infant with a mild upper respiratory tract infection and clear nasal discharge.
According to current immunization guidelines, mild acute illnesses, such as an upper respiratory tract infection with or without a low-grade fever, are not contraindications to receiving vaccines. The rotavirus vaccine can be safely administered to an infant with a mild illness, ensuring they remain protected against severe gastrointestinal disease without unnecessary delays.

Adım Adım Çözüm

1
Analyze the clinical scenario and the specific medication being considered.
The nurse needs to identify a safe candidate for the rotavirus vaccine, which is a live-attenuated virus vaccine.
Understanding the vaccine type is crucial because live vaccines have stricter contraindications, particularly concerning immunocompromised states or specific systemic vulnerabilities.
2
Evaluate each client presentation against established immunization guidelines and contraindications.
Intussusception history, SCID, and high-dose corticosteroid use are all strict contraindications for live vaccines. A mild upper respiratory infection is a minor acute illness, not a contraindication.
Live vaccines pose a risk to immunocompromised individuals or those with a history of intussusception, whereas mild illnesses do not increase the risk of vaccine-related adverse reactions.
3
Select the client who has no valid contraindications for the immunization.
The infant with the mild upper respiratory tract infection is the correct choice.
Evidence-based practice dictates that mild acute illnesses should not delay routine immunizations, preventing missed opportunities for protection.

Anahtar Kavram

Immunization Contraindications vs. Expected Variations
Bu soruyu puanla

Konular

Health Promotion and Disease Prevention

Bu konudan daha fazla soru