Answer to Question 1
Correct Answer: 3
Rationale 1: Two months is not long enough.
Rationale 2: One year is too long to wait for additional immunizations.
Rationale 3: The client must wait at least 3 to 5 months.
Rationale 4: One month is not long enough.
Global Rationale: Because this drug contains antibodies to live viruses, active vaccinations should not be given until 3 to 5 months after IVIG has been administered.
Answer to Question 2
Correct Answer: 4
Rationale 1: This is not the time frame for PCV administration.
Rationale 2: This is not the time frame for PCV administration.
Rationale 3: This is not the time frame for PCV administration.
Rationale 4: The PCV vaccine should be administered at 2, 4, 6, and 12 to 15 months.
Global Rationale: Because the administration of PPV to young children with immature immune systems leads to a poor antibody response, this vaccine is not recommended in children under 2 years of age. A second vaccine, called pneumococcal conjugate vaccine (PCV), was specially developed for routine immunization in children under the age of 2. This immunization differs from PPV in that the S. pneumoniae polysaccharides are coupled with a protein that leads to improved immune activation in infants with immature immune function. The latest form of the pneumococcal conjugate vaccine, PCV13, was approved in 2010 and protects against 13 types of pneumococcal bacteria. PCV13 is used in a series of four IM injections at 2 months, 4 months, 6 months, and 12 to 15 months.
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