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Zorluk: OrtaHealth Promotion and Disease Prevention

A practical nurse in a pediatric clinic is reviewing the health histories of four clients scheduled for routine well-child visits. Which finding requires the nurse to collaborate with the registered nurse to modify the client's preventive care plan?

  1. A
    A 12-month-old infant who is currently unable to walk independently
  2. A 4-month-old infant scheduled for the rotavirus vaccine who has a documented history of intussusceptionCevap
  3. C
    A 3-year-old child whose parents provide a culturally based lacto-vegetarian diet
  4. D
    A 6-month-old infant scheduled for a DTaP vaccine who had mild localized redness after the previous dose

Cevap

A 4-month-old infant scheduled for the rotavirus vaccine who has a documented history of intussusception
The rotavirus vaccine is an orally administered live-attenuated vaccine that carries a small risk of intussusception (a medical emergency where the bowel telescopes into itself). A previous history of intussusception is an absolute contraindication to receiving this vaccine. The practical nurse must recognize this and collaborate with the registered nurse or healthcare provider to cancel the rotavirus vaccine order.

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1
Evaluate the 12-month-old infant's developmental milestone.
Not walking independently at 12 months is within the normal developmental timeframe (typically 12-15 months).
To determine if a developmental delay exists that requires intervention.
2
Analyze the immunization orders against the clients' medical histories.
The rotavirus vaccine is contraindicated for the infant with a history of intussusception.
Administering the rotavirus vaccine to an infant with prior intussusception increases the risk of a recurrent bowel telescoping emergency.
3
Assess the nutritional adequacy of a lacto-vegetarian diet for a 3-year-old.
This diet includes dairy and can meet the child's nutritional needs; it is a safe cultural practice.
To differentiate between a dietary risk and a safe cultural preference.
4
Determine if previous mild vaccine reactions warrant withholding future doses.
Mild redness is an expected reaction to the DTaP vaccine and does not contraindicate the next dose.
To avoid unnecessary delays in establishing the child's active immunity.

Anahtar Kavram

Immunization Contraindications and Preventive Care
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Konular

Health Promotion and Disease Prevention

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