Author Question: A 4-year-old child is receiving amoxicillin (Amoxil) to treat otitis media and is in the clinic for ... (Read 83 times)

CQXA · **on:** Jul 23, 2018

A 4-year-old child is receiving amoxicillin (Amoxil) to treat otitis media and is in the clinic for a well-child checkup on the last day of antibiotic therapy.

The provider orders varicella (Varivax); mumps, measles, and rubella (MMR); inactivated polio (IPV); and diphtheria, tetanus, and acellular pertussis (DTaP) vaccines to be given. Which action by the nurse is correct?
a. Administer the vaccines as ordered.
b. Discuss giving the MMR vaccine in 4 weeks.
c. Hold all vaccines until 2 weeks after antibiotic therapy.
d. Recommend aspirin for fever and discomfort.

Question 2

A patient who is HIV-infected takes 800 mg of indinavir (Crixivan), a protease inhibitor medication. The provider has ordered adding ritonavir (Norvir) to the regimen. The nurse will teach the patient that the addition of ritonavir

a. allows decreasing the dosing from 3 times daily to twice daily.
b. can lead to increased cholesterol and triglycerides.
c. may worsen insulin resistance.
d. will require increased dietary restrictions.

GCabra · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Antibiotic therapy is not generally a contraindication to the use of vaccines. Vaccines may be given in cases of mild acute illness or during the convalescent phase of an illness. All four vaccines may be given. If the MMR or other live virus vaccine is not given the same day as the varicella vaccine, administration of the two vaccines should be separated by at least 4 weeks. Aspirin should not be given because of the increased risk of Reye's syndrome.

Answer to Question 2

ANS: A
Ritonavir boosting is a mainstay of protease inhibitor therapy and can reduce dosing frequency and pill burden as well as overcome viral resistance. It does not increase the likelihood of elevated cholesterol and triglycerides or insulin resistance and does not lead to increased dietary restrictions.