The nurse is preparing to administer an MMR (measles, mumps, and ...

[urbanoutfitters]

The nurse is preparing to administer an MMR (measles, mumps, and rubella) vaccine to a 15-month-old child. Prior to administering the vaccine, which of the following questions would the nurse ask the mother of the child?
 
  1. Has the child had any sore throats?
  2. Has the child been eating properly?
  3. Is the child allergic to any antibiotics?
  4. Has the child been exposed to any infections?

Question 2

A client with diabetes mellitus taking daily NPH insulin has been started on therapy with dexamethasone (Decadron). The nurse anticipates that which of the following adjustments in medication dosage will be made?
 
  1. Decreased NPH insulin
  2. Increased NPH insulin
  3. Lower dose of dexamethasone (Decadron) than usual
  4. Higher dose of dexamethasone (Decadron) than usual

[emilymalinowski12]

Answer to Question 1

3

Rationale: Prior to the administration of MMR vaccine, a thorough health history needs to be obtained. MMR is used with caution in a child with a history of an allergy to gelatin, eggs, or neomycin, because the live measles vaccine is produced by chick embryo cell culture and MMR also contains a small amount of the antibiotic neomycin. Has the child had any sore throats? Has the child been eating properly? and Has the child been exposed to any infections? are not contraindications to administering immunizations.

Answer to Question 2

2

Rationale: Dexamethasone is a glucocorticoid (corticosteroid) and therefore can elevate the blood glucose level. Diabetic clients may need their dosage of insulin or oral hypoglycemic medications increased during glucocorticoid therapy. This is most often a temporary change, needed to compensate for the actions of the medication.