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Soru

Zorluk: KolayHealth Promotion and Disease Prevention

A practical nurse is reviewing the health history of a young adult female client who is scheduled to receive the measles, mumps, and rubella (MMR) immunization. Which finding requires the nurse to withhold the vaccine and notify the healthcare provider?

  1. A positive pregnancy test from the previous weekCevap
  2. B
    A mild upper respiratory infection with a temperature of 98.8°F (37.1°C)
  3. C
    A strict adherence to a plant-based or vegan diet
  4. D
    A report of localized arm soreness following a past tetanus vaccination

Cevap

A positive pregnancy test from the previous week requires the nurse to withhold the vaccine.
The correct answer identifies that pregnancy is an absolute contraindication for receiving the live attenuated MMR vaccine. Administering this vaccine during pregnancy poses a theoretical risk of viral transmission to the fetus, potentially causing congenital defects.

Adım Adım Çözüm

1
Identify the classification of the scheduled vaccine.
The MMR vaccine is classified as a live attenuated vaccine.
Live attenuated vaccines carry specific safety guidelines and restrictions compared to inactivated vaccines.
2
Review the client's health history against known contraindications for live vaccines.
The client has a confirmed positive pregnancy test.
Pregnancy is an absolute contraindication for live vaccines due to potential teratogenic effects on the fetus.
3
Determine the appropriate nursing action based on the finding.
The nurse must withhold the vaccine and report the finding to the healthcare provider.
Administering a live vaccine to a pregnant client violates safety protocols.

Anahtar Kavram

Immunization Safety and Contraindications
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Konular

Health Promotion and Disease Prevention

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