The nurse is teaching an immunization class to a group of ...

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The nurse is teaching an immunization class to a group of parents. To evaluate the group's understanding, the nurse stimulates discussion and poses questions.
 
  Which response by one of the parents demonstrates a need for further teaching?
  a. The DTaP vaccine helps prevent pertussis and tetanus.
  b. The IPV vaccine helps prevent polio and is a live vaccine.
  c. The MMR vaccine helps prevent measles, mumps, and rubella.
  d. The Hib vaccine helps prevent type b H. influenzae.

Question 2

The nurse at the immunization clinic is providing vaccines to children. The parent of a child waiting to receive the vaccine tells the nurse that the child has had immune deficiencies from birth.
 
  The nurse understands that the vaccine that should not be administered to the child is the
  a. DTaP.
  b. Hib.
  c. polio injection.
  d. varicella virus vaccine.

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Answer to Question 1

ANS: B
The IPV vaccine is inactive. The oral poliovirus vaccine (OPV) is the live vaccine; this statement indicates a need for further teaching.
DTaP is given to prevent pertussis and tetanus; no further teaching is necessary.
MMR is given to prevent measles, mumps, and rubella; no further teaching is necessary.
The Hib vaccine is administered to help prevent type b H. influenzae; no further teaching is necessary.

Answer to Question 2

ANS: D
The varicella vaccine should be avoided by individuals who are immunocompromised, which includes those infected with the human immunodeficiency virus (HIV) and those who have a congenital immunodeficiency.
The DTaP, Hib vaccine, and polio injection may be administered to immunocompromised individuals, because these are not live vaccines.

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