Author Question: A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting ... (Read 111 times)

haleyc112 · **on:** Jul 23, 2018

A nurse at an immunization clinic is providing vaccines to children. The parent of a child waiting to receive vaccines tells the nurse that the child has an immune deficiency disorder.

The nurse understands that which vaccine should not be administered to this child? a. Diphtheria and tetanus toxoids and acel-lular pertussis (DTaP) vaccine
b. Haemophilus influenzae type b (Hib) vac-cine
c. Polio injection
d. Varicella virus vaccine

Question 2

A patient is using a high-concentration keratolytic agent containing 20 salicylic acid to remove warts. What will the nurse teach this patient?

a. Peeling and drying are desired effects of this drug.
b. Systemic effects may occur with this me-dication.
c. Tinnitus is a common side effect of little concern.
d. Tissue injury is unlikely at this dose.

miss.ashley · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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 vaccine, Hib vaccine, and polio injection may be ad-ministered to immunocompromised individuals, because these are not live vaccines.

Answer to Question 2

B
Salicylic acid is readily absorbed through the skin, and systemic toxicity can result. Peeling and drying are not desired effects of salicylic acid. Tinnitus is a symptom of systemic toxicity. Tissue injury is likely in any concentration above 6.