Saunders

12 months

The nurse should expect to administer the first dose of the measles, mumps, and rubella (MMR) vaccine at which age? 2 years 4 years 12 months 22 months

Varicella vaccine Inactivated polio vaccine Measles, mumps, rubella (MMR) vaccine

A child who is 4 years old is seen for a well-child checkup. He has been regularly receiving immunizations. Which immunizations should the child receive at this visit? Select all that apply. Varicella vaccine Rotavirus vaccine Inactivated polio vaccine Meningococcal conjugate vaccine Haemophilus influenzae type B vaccine Measles, mumps, rubella (MMR) vaccine

Bottle-feeding Household smoking Exposure to illness in other children Congenital conditions such as cleft palate Factors that increase the risk of otitis media include bottle-feeding, household smoking, exposure to illness from other children in day care centers, and congenital conditions such as Down syndrome and cleft palate. The use of a pacifier beyond age 6 months has been identified as another risk factor. Allergies are also thought to precipitate otitis media.

A 4-year-old child is diagnosed with otitis media. The mother asks the nurse about the causes of this illness. Which risk factors should the nurse include in response to this mother? Select all that apply. Bottle-feeding Household smoking Exposure to illness in other children A history of urinary tract infections Congenital conditions such as cleft palate

Primary nocturnal enuresis is usually outgrown without therapeutic intervention. Primary nocturnal enuresis occurs in a child who has never been dry at night for extended periods. The condition is common in children, and most children eventually outgrow bed-wetting without therapeutic intervention. The child is unable to sense a full bladder and does not awaken to void. The child may have delayed maturation of the central nervous system. The condition is not caused by a psychiatric problem.

A 7-year-old child is seen in a clinic, and the health care provider documents a diagnosis of primary nocturnal enuresis. The nurse should provide which information to the parents? Primary nocturnal enuresis does not respond to treatment. Primary nocturnal enuresis is caused by a psychiatric problem. Primary nocturnal enuresis requires surgical intervention to improve the problem. Primary nocturnal enuresis is usually outgrown without therapeutic intervention.

Pastia's sign White strawberry tongue Edematous and beefy-red pharynx Pastia's sign describes a rash seen in scarlet fever that will blanch with pressure except in areas of deep creases and the folds of joints. The tongue initially is coated with a white furry covering, with red projecting papillae (white strawberry tongue). By the fourth to fifth day, the white strawberry tongue sloughs off, leaving a red swollen tongue (strawberry tongue). The pharynx is edematous and beefy red. Koplik's spots are associated with rubeola (measles). These are small red spots with a bluish-white center and a red base located on the buccal mucosa. Petechial red, pinpoint spots occurring on the soft palate are characteristic of rubella (German measles).

A child diagnosed with scarlet fever is being cared for at home. The home health nurse performs an assessment on the child and checks for which clinical manifestations of this disease? Select all that apply. Pastia's sign Koplik's spots White strawberry tongue Edematous and beefy-red pharynx Petechial red, pinpoint spots on the soft palate Small red spots with a bluish-white center and a red base located on the buccal mucosa

Provide a soft diet. Administer ibuprofen for fever every 4 hours as prescribed and as needed. Instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy. Acute otitis media is an inflammatory disorder caused by an infection of the middle ear. The child often has fever, pain, loss of appetite, and possible ear drainage. The child also is irritable and lethargic and may roll the head or pull on or rub the affected ear. Otoscopic examination may reveal a red, opaque, bulging, and immobile tympanic membrane. Hearing loss may be noted particularly in chronic otitis media. The child's fever should be treated with ibuprofen. The child is positioned on his or her affected side to facilitate drainage. A soft diet is recommended during the acute stage to avoid pain that can occur with chewing. Antibiotics are prescribed to treat the bacterial infection and should be administered for the full prescribed course. The ear should not be irrigated with normal saline because it can exacerbate the inflammation further. Antihistamines are not usually recommended as a part of therapy.

A child has been diagnosed with acute otitis media of the right ear. Which interventions should the nurse include in the plan of care? Select all that apply. Provide a soft diet. Position the child on the left side. Administer an antihistamine twice daily. Irrigate the right ear with normal saline every 8 hours. Administer ibuprofen for fever every 4 hours as prescribed and as needed. Instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy.

"I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them." Pertussis is transmitted by direct contact or respiratory droplets from coughing. The infectious period occurs during the catarrhal stage (from the first to second week until the fourth week). Respiratory isolation is not required during the convalescent stage.

A child hospitalized with pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has provided instructions to the parents for home care of the child. Which statement by a parent indicates a need for further teaching? "It is important that my child drinks plenty of fluids." "A quiet environment helps to prevent episodes of coughing spells." "We need to teach the other members of the family how to use good hand washing techniques to prevent the spread of infection." "I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them."

A previous dose of hepatitis B vaccine or component A contraindication to receiving the hepatitis B vaccine is a previous anaphylactic reaction to a previous dose of hepatitis B vaccine or to a component (aluminum hydroxide or yeast protein) of the vaccine. An allergy to eggs, penicillin, and sulfonamides is unrelated to the contraindication to receiving this vaccine.

A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? Eggs Penicillin Sulfonamides A previous dose of hepatitis B vaccine or component

MMR (measles-mumps-rubella) Known altered immunodeficiency from long-term immunosuppressive therapy is a contraindication to MMR immunization because a live vaccine is given. The vaccines identified in the remaining options are not live vaccines and can be administered.

A child is scheduled to receive immunizations. The child's mother reports to the nurse that the child has been receiving long-term immunosuppressive therapy. The nurse prepares the scheduled immunizations knowing that which vaccine is contraindicated? Hepatitis B MMR (measles-mumps-rubella) Hib (Haemophilus influenzae type b) DTaP (diphtheria-tetanus-acellular pertussis)

A history of anaphylactic reaction to neomycin IPV contains neomycin. A history of anaphylactic reaction to neomycin is considered a contraindication to IPV. The presence of a minor illness such as the common cold is not a contraindication. In addition, a history of frequent respiratory infections is not a contraindication to receiving a vaccine. A local reaction to an immunization is not a contraindication to receiving a vaccine.

A child is scheduled to receive inactivated poliovirus vaccine (IPV), and the nurse who is preparing to administer the vaccine reviews the child's record. The nurse questions the administration of IPV if which is documented in the child's record? Recent recovery from a cold A history of frequent respiratory infections A history of anaphylactic reaction to neomycin A local reaction at the site of injection of a previous IPV

"The infectious period begins 1 to 2 days before the onset of the rash and ends about 5 days after the onset of the lesions and crusting of the lesions."

A child is seen in a health care clinic, and a diagnosis of chickenpox is confirmed. The mother expresses concern for two other children at home and asks the nurse if the child is infectious to the other children. Which response by the nurse is most appropriate? "The infectious period occurs after the lesions begin." "The infectious period begins with the onset of the rash." "The infectious period is not known, and it is possible that the children may develop the chickenpox within the next 2 weeks." "The infectious period begins 1 to 2 days before the onset of the rash and ends about 5 days after the onset of the lesions and crusting of the lesions."

Erythema on the face, giving a "slapped cheeks" appearance

A child is sent to the school nurse by the teacher. On assessment of the child the nurse notes the presence of a rash. The nurse suspects that the child has erythema infectiosum (fifth disease) based on which assessment finding? A discrete rose-pink maculopapular rash on the trunk A highly pruritic, profuse macule-to-papule rash on the trunk Erythema on the face, giving a "slapped cheeks" appearance A discrete pinkish-red maculopapular rash on the arms and trunk

Keep the child in a room with dim lights. A nursing consideration in rubeola is eye care. The child usually has photophobia, so the nurse should suggest that the parent keep the child out of brightly lit areas. Warm baths and sunlight will aggravate itching. Additionally, the child needs to rest. Children with viral infections are not to be given aspirin because of the risk of Reye's syndrome.

A child seen in the clinic is found to have rubeola (measles), and the mother asks the nurse how to care for the child. The nurse should tell the mother to implement which action? Keep the child in a room with dim lights. Give the child warm baths to help prevent itching. Allow the child to play outdoors because sunlight will help the rash. Take the child's temperature every 4 hours and administer 1 baby aspirin for fever.

Airborne Rubeola is transmitted via airborne particles or direct contact with infectious droplets. Airborne droplet precautions are required, and persons in contact with the child should wear masks. The child is placed in a private room if hospitalized, and the hospital room door remains closed. Gowns and gloves are unnecessary, but standard precautions are used. Articles that are contaminated should be bagged and labeled. Special enteric precautions and protective (neutropenic) isolation are not indicated in rubeola.

A child with rubeola (measles) is being admitted to the hospital. In preparing for the admission of the child, the nurse should plan to place the child on which precautions? Enteric Airborne Protective Neutropenic

Airborne

A child with rubeola (measles) is being admitted to the hospital. In preparing for the admission of the child, the nurse should plan to place the child on which precautions? Enteric Airborne Protective Neutropenic

The communicable period is 1 to 2 days before the onset of the rash to 6 days, when crusts have formed. Chickenpox is transmitted via direct contact, droplet (airborne) spread, and contaminated objects. The communicable period for chickenpox is 1 to 2 days before the onset of the rash to 6 days after the first crop of vesicles, when crusts have formed. In roseola, the communicable period is unknown. A communicable period ranging from 2 weeks or less to 4 weeks describes diphtheria. A communicable period of 10 to 15 days describes rubella.

A mother brings her 6-year-old child to the clinic because the child has developed a rash on the trunk and scalp. The mother reports that the child has had a low-grade fever, has not felt like eating, and has been tired. The child is diagnosed with chickenpox. The mother inquires about the communicable period associated with chickenpox, and the nurse bases the response on which statement? The communicable period is unknown. The communicable period ranges from 2 weeks or less to 4 weeks. The communicable period is 10 days before the onset of symptoms to 15 days after the rash appears. The communicable period is 1 to 2 days before the onset of the rash to 6 days, when crusts have formed.

DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV) DTaP, Hib, IPV, PCV, and RV are administered at 4 months of age. DTaP is administered at 2, 4, and 6 months of age; at 15 to 18 months of age; and at 4 to 6 years of age. Hib is administered at 2, 4, and 6 months of age and at 12 to 15 months of age. IPV is administered at 2, 4, and 6 months of age and at 4 to 6 years of age. PCV is administered at 2, 4, and 6 months of age and at 12 to 15 months of age. The first dose of MMR vaccine is administered at 12 to 15 months of age; the second dose is administered at 4 to 6 years of age (if the second dose was not given by 4 to 6 years of age, it should be given at the next visit). The first dose of HepB is administered at birth, the second dose is administered at 1 month of age, and the third dose is administered at 6 months of age. Varicella-zoster vaccine is administered at 12 to 15 months of age and again at 4 to 6 years of age.

A parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant? Varicella, hepatitis B vaccine (HepB) Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR); inactivated poliovirus vaccine (IPV) MMR, Haemophilus influenzae type b (Hib), DTaP DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)

Administer acetaminophen.

An ambulatory care nurse makes a follow-up telephone call to the mother of a child who underwent a myringotomy with insertion of tympanoplasty tubes on the previous day. The mother of the child tells the nurse that the child is complaining of discomfort. What should the nurse instruct the mother to do? Administer acetaminophen. Give one children's aspirin with water. Call the pharmacist for a stronger analgesic. Call the health care provider immediately.

Administer the vaccination. The vaccination should be given. Mild fever after the DTaP is not uncommon, and the vaccination would not be withheld for that reason. A vaccination is withheld for true contraindications such as a previous anaphylactic reaction or sensitivity to a product in the vaccination. Drawing blood for determination of a pertussis titer would not be indicated. It is not necessary to notify the health care provider about this side effect.

An infant is brought to the clinic for his third diphtheria-tetanus toxoid-acellular pertussis vaccination (DTaP). The mother reports that the infant developed a 99.4°F (37.4°C) temperature after the last DTaP. Which action is most appropriate? Withhold the vaccination. Administer the vaccination. Draw blood for a pertussis titer. Notify the health care provider.

Apply a cold pack to the injection site. On occasion, tenderness, redness, or swelling may occur at the site of the DTaP injection. This can be relieved with cold packs for the first 24 hours, followed by warm or cold compresses if the inflammation persists. Bringing the infant back to the clinic is unnecessary. Option 1 may be an appropriate intervention, but is not specific to the subject of the question, a localized reaction at the injection site. Hot packs are not applied and can be harmful by causing burning of the skin.

An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? Monitor the infant for a fever. Bring the infant back to the clinic. Apply a hot pack to the injection site. Apply a cold pack to the injection site.

"The disease can be spread to others from 10 days before any sign of the disease appears to 15 days after the rash appears." The communicable period for rubeola ranges from 4 days before to 5 days after the rash appears, mainly during the prodromal stage. All other options are accurate descriptions of rubeola, so they would not indicate a need for further teaching. The small blue-white spots found in this communicable disease are called Koplik's spots. The incorrect option describes the incubation period for rubella, not rubeola.

Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the schoolchildren. Which statement made by a parent indicates a need for further teaching regarding this communicable disease? "Small blue-white spots with a red base may appear in the mouth." "The rash usually begins on the face and spreads downward toward the feet." "The disease can be spread to others from 10 days before any sign of the disease appears to 15 days after the rash appears." "Respiratory symptoms such as a profuse runny nose, cough, and fever occur before the development of a rash."

"The disease can be spread to others from 10 days before any sign of the disease appears to 15 days after the rash appears." The communicable period for rubeola ranges from 4 days before to 5 days after the rash appears, mainly during the prodromal stage. All other options are accurate descriptions of rubeola, so they would not indicate a need for further teaching. The small blue-white spots found in this communicable disease are called Koplik's spots. The incorrect option describes the incubation period for rubella, not rubeola.

Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the schoolchildren. Which statement made by a parent indicates a need for further teaching regarding this communicable disease? "Small blue-white spots with a red base may appear in the mouth." "The rash usually begins on the face and spreads downward toward the feet." "The disease can be spread to others from 10 days before any sign of the disease appears to 15 days after the rash appears." "Respiratory symptoms such as a profuse runny nose, cough, and fever occur before the development of a rash."

The child had a previous anaphylactic reaction to the vaccine. The child has a disorder that caused a severely deficient immune system. The general contraindications for receiving live virus vaccines include a previous anaphylactic reaction to a vaccine or a component of a vaccine. In addition, live virus vaccines generally are not administered to individuals with a severely deficient immune system, individuals with a severe sensitivity to gelatin, or pregnant women. A vaccine is administered with caution to an individual with a moderate or severe acute illness, with or without fever. Options 1, 3, 4, and 6 are not contraindications to receiving a vaccine

The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? Select all that apply. The child has symptoms of a cold. The child had a previous anaphylactic reaction to the vaccine. The mother reports that the child is having intermittent episodes of diarrhea. The mother reports that the child has not had an appetite and has been fussy. The child has a disorder that caused a severely deficient immune system. The mother reports that the child has recently been exposed to an infectious disease.

The child had a previous anaphylactic reaction to the vaccine. The child has a disorder that caused a severely deficient immune system. The general contraindications for receiving live virus vaccines include a previous anaphylactic reaction to a vaccine or a component of a vaccine. In addition, live virus vaccines generally are not administered to individuals with a severely deficient immune system, individuals with a severe sensitivity to gelatin, or pregnant women. A vaccine is administered with caution to an individual with a moderate or severe acute illness, with or without fever. Options 1, 3, 4, and 6 are not contraindications to receiving a vaccine

The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? Select all that apply. The child has symptoms of a cold. The child had a previous anaphylactic reaction to the vaccine. The mother reports that the child is having intermittent episodes of diarrhea. The mother reports that the child has not had an appetite and has been fussy. The child has a disorder that caused a severely deficient immune system. The mother reports that the child has recently been exposed to an infectious disease.

Subcutaneously in the outer aspect of the upper arm

The clinic nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. The nurse should administer this vaccine by which method? Subcutaneously in the gluteal muscle Intramuscularly in the deltoid muscle Subcutaneously in the outer aspect of the upper arm Intramuscularly in the anterolateral aspect of the thigh

Subcutaneously in the outer aspect of the upper arm MMR vaccine is administered subcutaneously in the outer aspect of the upper arm. The gluteal muscle is not recommended for injections. MMR vaccine is not administered by the intramuscular route.

The clinic nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. The nurse should administer this vaccine by which method? Subcutaneously in the gluteal muscle Intramuscularly in the deltoid muscle Subcutaneously in the outer aspect of the upper arm Intramuscularly in the anterolateral aspect of the thigh

Notify the HCP if the child develops abdominal pain or left shoulder pain. Infectious mononucleosis is caused by Epstein-Barr virus. The parents need to be instructed to notify the HCP if abdominal pain, especially in the left upper quadrant, or left shoulder pain occurs because this may indicate splenic rupture. Children with enlarged spleens also are instructed to avoid contact sports until splenomegaly resolves. Bed rest is unnecessary, and children usually self-limit their activity. Respiratory precautions are not required, although transmission can occur via direct intimate contact or contact with infected blood. Fever is treated with acetaminophen or ibuprofen per HCP preference.

The home health nurse visits a child with infectious mononucleosis and provides home care instructions to the parents. Which instruction should the nurse give to the parents? Maintain the child on bed rest for 2 weeks. Maintain respiratory precautions for 1 week. Notify the health care provider (HCP) if the child develops a fever. Notify the HCP if the child develops abdominal pain or left shoulder pain.

"This is not an emergency. I will speak to the health care provider and call you right back." A myringotomy is the insertion of tympanoplasty tubes into the middle ear to equalize pressure and keep the ear aerated. The parent should be reassured that if the tubes fall out, it is not an emergency, but the health care provider should be notified. The size and appearance of the tympanostomy tubes should be described to the parents after surgery. The tubes are not soaked in hydrogen peroxide or replaced by the parents.

The mother of a child who has undergone a myringotomy, with insertion of tympanoplasty tubes, telephones and tells the nurse that the tubes have fallen out. Which is the appropriate response to the mother? "Bring the child to the nearest emergency department." "Replace the tubes immediately so that the opening does not close." "Place the tubes in hydrogen peroxide for 1 hour before replacing them in the child's ears." "This is not an emergency. I will speak to the health care provider and call you right back."

Upward and backward When giving eardrops to a child older than 3 years, the pinna is pulled upward and backward. To administer eardrops properly to a child who is younger than 3 years old, the pinna of the ear should be pulled downward and backward. The other options are incorrect.

The nurse has a prescription to give eardrops to a 5-year-old child. Which position should the nurse use to pull the pinna of the ear? Upward and outward Upward and backward Downward and outward Downward and backward

"I need to stop breast-feeding as soon as possible." To decrease the risk of recurrent otitis media, mothers should be encouraged to breast-feed during infancy, discontinue bottle-feeding as soon as possible, feed the infant in an upright position, and never give the infant a bottle in bed. Additionally, parents should be told not to smoke in the child's presence because passive smoking increases the incidence of otitis media.

The nurse is assisting in providing an educational session to new mothers regarding the methods that will decrease the risk of recurrent otitis media in infants. Which statement by a mother in the group indicates a need for further teaching? "I need to feed my infant in an upright position." "I need to stop breast-feeding as soon as possible." "Bottle-feeding should be stopped as soon as possible." "I should not provide my infant with a bottle during naptime."

The mother pulls the earlobe down and back. To administer eardrops to a child younger than 3 years, the earlobe should be pulled down and back. In the older child, the earlobe is pulled up and back to obtain a straight canal. Gloves do not need to be worn by the parents, but hands must be washed before and after the procedure. The child needs to be in a side-lying position with the affected ear facing upward to facilitate the flow of medication down the ear canal by gravity.

The nurse is caring for a 2-year-old child with an ear infection who requires the administration of antibiotic eardrops. The nurse observes the mother administering the eardrops to the child. Which observation by the nurse indicates that the mother is performing the procedure correctly? The mother pulls the earlobe up and back. The mother pulls the earlobe down and back. The mother holds the child in a sitting position. The mother must wear gloves to administer the medication.

Avoid allowing the children to share drinking glasses or eating utensils because the disease is transmitted through saliva.

The nurse is caring for a child with a diagnosis of roseola. The nurse provides instructions to the mother regarding prevention of the transmission to siblings and other household members. Which instruction should the nurse provide? Isolate the child from others for 2 weeks because the virus is transmitted by breathing and coughing. Wash sheets and towels used by the child separately in bleach to prevent spread of the infection to others. Have the child use a separate bathroom for urination and bowel movements to prevent the spread of infection. Avoid allowing the children to share drinking glasses or eating utensils because the disease is transmitted through saliva.

Mask and gloves Rubeola is transmitted via airborne particles or direct contact with infectious droplets. Respiratory isolation is required, and a mask should be worn by those in contact with the child. Gloves are also worn as necessary to prevent contact with infectious droplets. Gowns and goggles are not specifically indicated for care of the child with rubeola. Any articles that are contaminated should be bagged and labeled.

The nurse is caring for a hospitalized child with a diagnosis of measles (rubeola). In preparing to care for the child, which supplies should the nurse bring to the child's room to prevent transmission of the virus? Mask and gloves Gown and gloves Goggles and gloves Gown, gloves, and goggles

"She can receive it when she is 12 months old."

The nurse is providing anticipatory guidance to the mother of a 10-month-old child. The mother asks how soon her daughter will be able to receive the chickenpox (varicella) vaccine. What is the best nursing response? "She will receive it today." "She can receive it when she is 12 months old." "She can receive it any time before her first birthday." "She will receive it before entry into kindergarten, at 4 to 6 years of age."

"My child can swim in the lake or pool as long as the water is not too deep." Bath water and lake water are potential sources of bacterial contamination. Diving and swimming deeply under water are prohibited. Parents need to be instructed that the child should not blow the nose for 7 to 10 days. The child's ears need to be kept dry, and Vaseline on cotton balls or earplugs can be placed in the ears during a bath or shower.

The nurse provides discharge instructions to the mother of a child following a myringotomy with insertion of tympanoplasty tubes. Which statement by the mother indicates the need for further teaching? "My child should not swim or dive in deep water." "I need to prevent my child from blowing the nose." "My child can swim in the lake or pool as long as the water is not too deep." "I will put Vaseline on cotton balls and place them in my child's ears before a bath."

"We need to maintain droplet precautions and a quiet environment for at least 2 weeks." Pertussis is transmitted by direct contact or respiratory droplets from coughing. The communicable period occurs primarily during the catarrhal stage. Respiratory precautions are not required during the convalescent phase. Options 1, 2, and 3 are accurate components of home care instructions.

The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction? "We need to encourage our child to drink fluids." "Coughing spells may be triggered by dust or smoke." "Vomiting may occur when our child has coughing episodes." "We need to maintain droplet precautions and a quiet environment for at least 2 weeks."

"Precautions are indicated during the period of communicability." Mumps is transmitted via direct contact with or droplet spread from an infected person. Droplet precautions are indicated during the period of communicability (immediately before and after swelling begins); therefore, all other options are incorrect.

The nurse provides instructions to the mother of a child with mumps regarding respiratory precautions, and the mother asks the nurse about the length of time required for the respiratory precautions. The nurse should make which statement to the mother? "Precautions are not necessary once the swelling appears." "Precautions are not necessary before the swelling begins." "Precautions are indicated during the period of communicability." "Precautions are indicated for 20 days following the onset of parotid swelling."

A severe febrile illness A severe febrile illness is a reason to delay immunization but only until the child has recovered from the acute stage of the illness. Minor illness, such as a cold, otitis media, or mild diarrhea, is not a contraindication to immunization.

The nursing student is assigned to administer immunizations to children in a clinic. The student should question whether to administer immunizations to a child with which condition? A cold Otitis media Mild diarrhea A severe febrile illness