A mother brings her four-month-old infant in for a routine ...

[chandani]

A mother brings her four-month-old infant in for a routine checkup and vaccinations. The mother reports that the four-month-old was exposed to a brother who has the flu. In this case, the nurse will:
 
  1. Withhold the DTaP vaccination but give the others as scheduled.
  2. Give the infant the flu vaccination but withhold the others.
  3. Give the vaccinations as scheduled.
  4. Withhold the vaccinations.

Question 2

The nurse is teaching a mother of a young child with a newly diagnosed seizure disorder. The child has been put on valproic acid (Depakote) for control of seizures.
 
  The nurse knows that the mother does not understand the effects of valproic acid when she states: 1. I will not use carbonated beverages to dilute his medication.
  2. I will give his medicine on an empty stomach so he will absorb it better.
  3. I will not let him chew his tablet.
  4. I will bring him to the physician office for regular blood work to check bleeding times.

[gasdhashg]

Answer to Question 1

3
Rationale 1: There is no reason to withhold any of the vaccinations due at this time.
Rationale 2: The flu vaccination would not routinely be given to a four-month-old.
Rationale 3: Giving the vaccine as scheduled will keep the infant properly immunized.
Rationale 4: Recent exposure to an infectious disease is not a reason to defer a vaccine.
Global Rationale:

Answer to Question 2

2
Rationale 1: Carbonated beverages should never be used to dilute valproic acid.
Rationale 2: Valproic acid (Depakote) should be given with foods to decrease GI irritation.
Rationale 3: This child should not be allowed to chew a valproic acid tablet.
Rationale 4: It is appropriate to have periodic blood studies to check bleeding times and platelet count.
Global

[chandani]

Excellent

[ktidd]

Gracias!