This topic contains a solution. Click here to go to the answer

Author Question: A 4 -year-old child who has been receiving high-dose systemic glucocorticoids for several months ... (Read 64 times)

jCorn1234

  • Hero Member
  • *****
  • Posts: 545
A 4 -year-old child who has been receiving high-dose systemic glucocorticoids for several months comes to a clinic for school immunizations, which usually include the DTaP vaccine;
 
  varicella virus vaccine (Varivax); the measles, mumps, and rubella virus (MMR) vaccine; and the inactivated poliovirus vaccine (IPV). The clinic nurse will expect to administer which vaccines to this child?
  a. All four school immunizations
  b. DTaP and IPV only
  c. DTaP, OPV, and Varivax only
  d. DTaP and IPV, along with immunoglobulins

Question 2

The parents of an infant who will be attending day care tell the nurse that they do not want their child vaccinated against rotavirus because an older cousin developed intussusception after receiving this vaccine.
 
  Which response by the nurse is correct?
  a. Intussusception is much less serious than getting the disease.
  b. It was probably just a coincidental reaction to the vaccine.
  c. The newer vaccines for rotavirus are not associated with intussusception.
  d. Your child will have herd immunity and won't need the vaccine.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CourtneyCNorton

  • Sr. Member
  • ****
  • Posts: 317
Answer to Question 1

ANS: B
Children who are immunocompromised should not receive live virus vaccines, including the MMR vaccine and Varivax. Children taking high-dose systemic glucocorticoids are immunocompromised and should not receive the vaccine until therapy is stopped and normal glucocorticoid production returns. The oral polio vaccine (OPV) contains live virus and is contraindicated. Immunoglobulins are not indicated unless children are exposed to the diseases themselves.

Answer to Question 2

ANS: C
The rotavirus vaccine product RotaShield was withdrawn because of the high rate of intussusception associated with it. The two products currently on the marketRotaTeq and Rotarixdo not carry a risk for intussusception. Intussusception can be life threatening, so telling parents it is less serious than the disease is incorrect. Intussusception was not merely a coincidental reaction. Herd immunity is not guaranteed.




jCorn1234

  • Member
  • Posts: 545
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


yeungji

  • Member
  • Posts: 319
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

For a complete list of videos, visit our video library