A patient is preparing to travel with a 4-year-old child to India ...

[ishan]

A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines. Which vaccines will be given to the parent and child?
 
  a. Four capsules of live, oral vaccine to both patients
  b. Four capsules of live, oral vaccine for the parent and the IM polysaccharide vaccine for the child
  c. Four capsules of live, oral vaccine for the child and the IM polysaccharide vaccine for the parent
  d. IM polysaccharide for both patients

Question 2

A 48-month-old child is scheduled to receive the following vaccines: MMR, Varivax, IPV, and DTaP.
 
  The child's parents want the child to receive two vaccines today and the other two in 1 week. To accommodate the parents' wishes, the nurse will administer
  a. the DTaP and Varivax today and the MMR and IPV in 1 week.
  b. the IPV and MMR today and the Varivax and DTaP in 1 week.
  c. the MMR and DTaP today and the Varivax and IPV in 1 week.
  d. the MMR and Varivax today and the DTaP and IPV in 1 week.

[Zack0mack0101@yahoo.com]

Answer to Question 1

ANS: D
While the live, oral vaccine may be given to patients older than 6 years, each capsule must be taken 48 hours apart with the last capsule given 1 week prior to travel. There would not be enough time to complete the regimen since the patients leave in 10 days. Children under age 6 cannot receive the oral vaccine.

Answer to Question 2

ANS: D
If the MMR or other live virus vaccine is not given the same day as the varicella vaccine, administration of the two vaccines should be separated by at least 4 weeks. In the incorrect answers, the two live virus vaccines are given only one week apart.

[ishan]

Gracias!

[lcapri7]

TYSM