The primary care NP sees a 4-year-old child who has received four ...

[tiara099]

The primary care NP sees a 4-year-old child who has received four doses of PCV 7 in the first 15 months of life. The NP should administer:
 
  a. PCV 7.
  b. PCV 13.
  c. PPV 23.
  d. no PCV.

Question 2

The primary care NP sees a 4-year-old child who has persistent asthma episodes for a well-child visit in October. The child recently completed a 7-day course of oral steroids. The NP plans to give the child flu vaccine and should:
 
  a. administer LAIV today.
  b. administer 0.5 mg TIV today.
  c. wait 4 weeks and administer LAIV.
  d. wait 4 weeks and administer 0.5 mg TIV.

[joshbk44]

Answer to Question 1

B
Children who have completed the PCV series with PCV 7 and are younger than 5 years should receive a single dose of PCV 13.

Answer to Question 2

B
U.S. Food and Drug Administration licensure of LAIV excludes children ages 2 to 4 years with a history of asthma. Steroid therapy should not delay the administration of influenza vaccine, especially in patients for whom influenza infection would be particularly severe. This child should receive TIV and may receive it today.