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Chapter 31 Vaccines Questions &Exam (elaborations) answers 100% satisfaction guarantee
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STUVIA 2024/2025Chapter 31: Vaccines
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);
measles-mumps-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. - ✔✔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 syndrome.
A 48-month-old child is scheduled to receive the following vaccines: MMR, varicella vaccine (Varivax),
IPV, and DTaP. The child's parents want the child to receive two vaccines today and the other two in 1
week. To accommodate the parents' wishes, the nurse will administer
%
a. the DTaP and Varivax today and the MMR and IPV in 1 week.
b. the IPV and MMR today and the Varivax and DTaP in 1 week.
c. the MMR and DTaP today and the Varivax and IPV in 1 week.
d. the MMR and Varivax today and the DTaP and IPV in 1 week. - ✔✔ANS: D
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. In the incorrect answer,
the two live virus vaccines are given only 1 week apart.
A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive
typhoid vaccines. Which vaccines will be given to the parent and the child?
a. Four capsules of live, oral vaccine to both patients
b. Four capsules of live, oral vaccine for the parent and the intramuscular (IM) polysaccharide vaccine
for the child
c. Four capsules of live, oral vaccine for the child and the IM polysaccharide vaccine
for the parent
d. IM polysaccharide for both patients - ✔✔ANS: D
While the live, oral vaccine may be given to patients older than 6 years, each capsule must be taken
48 hours apart with the last capsule given 1 week prior to travel. There would not be enough time to
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