The nurse is teaching a mother about caring for her child who has ...

[crazycityslicker]

The nurse is teaching a mother about caring for her child who has AIDS. Which of the following immunizations should a child with AIDS not receive?
 
  1. Diphtheria and tetanus toxiods and acellular pertussis vaccine (DTaP)
   2. Haemophilus influenzae type B (HIB conjugate vaccine)
   3. Varicella vaccine
   4. Hepatitis B vaccine (hep B)

Question 2

A client with a history of allergic rhinitis is diagnosed with glaucoma. When planning the care for this client, the nurse should instruct the client to do which of the following?
 
  1. Take an antihistamine, but avoid decongestants.
   2. Take a decongestant, but avoid antihistamines.
   3. Avoid antihistamines as well as decongestants.
   4. Use nasal sprays instead of oral preparations.

[iceage]

Answer to Question 1

3. Varicella vaccine

Rationale:
A child with an immune disorder should not be immunized with a live varicella vaccine because of the risk of contracting the disease. DTaP, HIB, and hepatitis B vaccinations are not a live vaccine, and should be given on schedule.

Answer to Question 2

3. Avoid antihistamines as well as decongestants.

Rationale:
Antihistamines as well as decongestants can interact with glaucoma treatment; the client must avoid both. Nasal sprays will also interact with the systemic effects of the eye drops for glaucoma, so they must be avoided.