Parents have requested that their child be brought up to date on ...

[Sportsfan2111]

Parents have requested that their child be brought up to date on appropriate immunizations. After reviewing the child's medical history, the nurse prepares to give the two immunizations.
 
  What additional action should be taken by the nurse before administration of the immunization?
  a.
  Ask if there is any chance the girl child could be pregnant
  b.
  Ask the child if she consents to the immunizations
  c.
  Assess whether the child has a fever or other illness that would require the immunization be postponed
  d.
  Explain the pros and cons of obtaining immunizations to the parents
  e.
  Give the parents the Vaccine Information Statement (VIS)

Question 2

The charge nurse notes that two patients had communicable infectious diseases and were treated appropriately. Which of the following actions should be taken next by the nurse?
 
  a. Depends on your state health department's requirements
  b. Report the two cases to the Centers for Disease Control and Prevention (CDC)
  c. Report the two cases to your regional health department
  d. Send the information for inclusion in the Morbidity and Mortality Weekly Report

[Jmfn03]

Answer to Question 1

ANS: E
The Centers for Disease Control and Prevention produces VISs that explain the benefits and risks of vaccine to vaccine recipients, their parents, or their legal representatives. Federal law requires that VISs be handed out whenever (before each dose) certain vaccinations are given. Because the parents have previously had the child receive immunizations, they clearly have chosen to continue with immunizations so they do not need to hear the pros and cons of children being immunized. Children cannot give consent, only assent, to procedures. Because the child is a minor, the child's parents make the decisions.

Answer to Question 2

ANS: A
Because state health departments have the responsibility for monitoring and controlling communicable diseases within their respective states, they determine which diseases will be reported within their jurisdiction. Because the state health department requirements will dictate what action is taken next, it may not be necessary to report the cases to the CDC, regional health department, or to the Morbidity and Mortality Weekly Report.