The nurse is preparing to administer a vaccine to a 14-month-old ...

[nenivikky]

The nurse is preparing to administer a vaccine to a 14-month-old toddler. Which assessment factor would warrant a delay in the scheduled vaccination during the well-child visit?
 
  1. The child is allergic to a substance in the vaccine.
  2. The child has a low-grade fever and a runny nose.
  3. The child received a dose of immune globulin 2 months ago.
  4. The child is on antibiotics.

Question 2

Which nursing actions allow a child to acquire active immunity against a disease?
 
  1. Administering a dose of immunoglobulins
  2. Administering a killed virus vaccine
  3. Administering a toxoid vaccine
  4. Administering antibiotic therapy
  5. Administering antiviral therapy

[allisonblackmore]

Answer to Question 1

3
Explanation:
1. A vaccine allergy contradicts the administration of the vaccine for life. This factor does not warrant a delay. The child should not receive the vaccine at the next well-child visit or at any other time.
2. A mild upper respiratory infection would not be a contraindication for vaccine administration.
3. The antibodies in the immune globulin will prevent the child from developing immunity to the vaccination. By the next well-child visit, the immune globulins will not prevent immunity from developing.
4. Antibiotic administration will not prevent the development of active immunity.

Answer to Question 2

2, 3
Explanation:
1. Immunoglobulins provide passive immunity. No active immunity is acquired.
2. This immunization will stimulate antibody production in the child which is active immunity.
3. This immunization will also stimulate antibody production in the child.
4. Antibiotic therapy provides no immunity.
5. Antiviral therapy provides no immunity.