PEDS CH. 22
37. A young mother calls the pediatric triage nurse because she is worried about her 4-month-old daughter. Her daughter had immunizations administered yesterday. The infant is not eating and is more irritable than usual. The nurse verifies that the infant had a DTaP immunization. The nurse knows that these signs and symptoms are: 1. A medical emergency. The mother should bring the infant to an emergency room to make sure that the child is not having an allergic reaction. 2. A normal reaction and will subside in a day or two. 3. Abnormal, and the mother should follow up with the doctor in two days. 4. Only occurring because the child has not been given Tylenol for the pain at the injection site.
A normal reaction and will subside in a day or two.
A 1 year old has received her MMR and Varivax vaccines at the clinic today. The nurse explains the chance for rash and gives visual aids to the mother to take home. The nurse knows that the mother understands the normal reaction to Varivax when she points out: 1. A varicella-type rash. 2. A maculopapular rash. 3. A pin point rash. 4. A strawberry-patterned rash on her tongue.
A varicella type rash
A vaccine that contains fragments of cells that stimulate an immune response, but does not contain the whole cell is known as a: 1. Toxoid. 2. Subunit. 3. Acellular. 4. Attenuated.
Acellular
Liza's mother calls the pediatric triage nurse because she is concerned about her usually healthy daughter's rosy, lacey cheeks, fever, and fussiness. The mother reports that this illness has been going around the day care. The nurse anticipates that the doctor's orders will include: 1. Acetaminophen, adequate hydration, and to let the virus run its course. 2. Having the child admitted to the emergency room because this is a medical emergency. 3. Having the mother speak with the day care and discuss good hand washing techniques. 4. Giving the child TLC and hydration.
Acetaminophen, adequate hydration, and to let the virus run its course.
31. The Pneumococcal (PPSV23) vaccine is recommended for children with which of the following high-risk conditions? 1. Asplenia 2. Cochlear implants 3. Congenital heart defects 4. All of the above
All of the above
The purpose of the vaccine information statement is: 1. To give the purpose of the vaccine. 2. To provide a list of possible side effects. 3. To answer some questions for the caregiver. 4. All of the above
All of the above
. A day-care center calls the pediatric triage nurse because there has been an outbreak of Hand-Foot-Mouth Disease in the preschool room. It is important to teach the day-care center to: (Select all that apply.) 1. Clean surfaces and toys with a mixture of disinfectant and bleach water. 2. Practice good hand hygiene. 3. Have the children stay home if they are active cases. 4. Send information home with the parents. 5. All of the above information should be given to the day-care center.
All of the above information should be given to the day-care center.
18. A 16-year-old girl with mononucleosis is being evaluated for the development of a maculopapular rash. The nurse should ask the patient if she has taken which of the following medications? 1. Acetaminophen 2. Acyclovir 3. Amoxicillin 4. Aspirin
Amoxicillin
19. An 8-year-old boy was just diagnosed with the mumps. The nurse is developing a plan of care for the boy, which should include which of the following interventions? 1. Administer intravenous Acyclovir as ordered. 2. Drink plenty of fluids, including citrus juices high in Vitamin C. 3. Apply ice packs or warm compresses to the neck for comfort and pain relief. 4. Place the patient in contact precautions.
Apply ice packs or warm compresses to the neck for comfort and pain relief.
1. Which of the following is a consideration in the administration of immunizations? 1. Immunizations can only be administered if a child is free from any illnesses. 2. Caregivers should administer aspirin prior to the injection to prevent any side effects. 3. Children should be isolated from other children for 24 hours after receiving immunizations. 4. Caregivers should be advised that immunizations may cause a mild fever or soreness and redness at the injection site.
Caregivers should be advised that immunizations may cause a mild fever or soreness and redness at the injection site.
9. A 6-year-old boy with Varicella-zoster (chickenpox) and a visible rash is being admitted to the hospital for treatment of dehydration. Which of the following isolation precautions needs to be taken? 1. Contact 2. Airborne 3. Contact and droplet 4. Contact and airborne
Contact and airborne
. A nurse is working on a pediatric unit and notices that many of the children on the unit are admitted with a communicable disease. She realizes that the best action she can take to prevent the spread of communicable diseases is: 1. Hand washing. 2. Wearing gloves. 3. Wearing gloves and a gown. 4. Placing the child in isolation.
Hand washing
family recently returned from a trip to Mexico. About one month after returning, the parents noticed that their 6-year-old child has dark urine and has been complaining of a stomachache and a poor appetite. Considering the history and clinical presentation of the child, the nurse suspects that the child may have which of the following? 1. Malaria 2. Hepatitis A 3. Hepatitis B 4. Clostridium Difficile
Hepatitis A
Keegan, a 9-year-old patient, has been brought to the pediatric clinic for an influenza vaccine. The nurse knows that this is Keegan's first time receiving the vaccine. The nurse knows the mother understands the instructions for the vaccine when she states: 1. "I will not need to make sure he receives the vaccine every year." 2. "I cannot let him be around other children for at least 12 hours because he is contagious." 3. "I will need to watch him to see if he has an allergic reaction to eggs after this vaccine." 4. "I will need to bring him back in for a second immunization in four weeks."
I will need to bring him back in for a second immunization in four weeks."
The pediatric nurse is teaching a young mother prodromal signs of communicable diseases at an in-home visit. The nurse knows that the mother understands the prodromal signs and symptoms when she states: 1. "I will watch for coryza and vomiting to begin." 2. "I will need to watch for cough, coryza, and fevers." 3. "I will need to watch for a change in behavior and a low-grade fever." 4. "I will watch for a rash, fever, and vomiting."
I will need to watch for cough, coryza, and fevers."
Iona has been brought to the clinic for her well-child checkup and immunizations. When the nurse completes the assessment, Iona is noted to have a low-grade fever. The nurse knows that: 1. Iona should not receive the immunizations because her body is ill. 2. Iona can receive the immunizations since the fever is low grade. 3. Iona can receive the immunizations because the low-grade fever will increase the effectiveness of the vaccine. 4. It is important to remain on schedule with the immunizations.
Iona should not receive the immunizations because her body is ill.
5. A mother is bringing her 2-month-old son in for his well-child visit. He is due to receive his Diphtheria, Tetanus, and Pertussis vaccine. The nurse is educating the mother on the possible side effects of the vaccine, which include: 1. Pain and swelling in the joints. 2. Irritability, loss of appetite, and seizures. 3. Nausea, vomiting, and abdominal pain. 4. Fever and decreased white blood cell count.
Irritability, loss of appetite, and seizures
Identify the vaccine that is given to students prior to living in college dormitories. 1. Influenza 2. Meningococcal vaccine 3. HPV 4. MMR
Meningococcal vaccine
A 6-week-old infant is brought into the emergency department with a cough that ends in a crowing sound, followed by vomiting. The nurse suspects which of the following illnesses? 1. Pertussis 2. Diptheria 3. Bronchiolitis 4. Respiratory Syncytial Virus
Pertussis
15. A 6-year-old boy is admitted to the hospital with a severe case of chickenpox with persistent fever. The nurse monitors the child for which of the following complications? 1. Pneumonia 2. Kidney failure 3. Seizure activity 4. Rheumatic fever
Pneumonia
47. Stella, a 16-year-old girl, has come to the clinic to receive the HPV vaccine. Prior to the administration of the vaccine, the nurse must assess for: 1. Allergies to latex. 2. Allergies to eggs. 3. The last sexual encounter. 4. Pregnancy.
Pregnancy
51. A nursing student is about to give a newborn baby a Hepatitis B injection. The student knows that the injection must be given IM. The best place to give an IM injection on a newborn is: 1. The deltoid. 2. The abdomen. 3. The rectus femoris. 4. The forearm.
Rectus femoris
Which of the following is true about immunizations containing thimersal and autism? 1. Thimersal has been removed from all vaccines. 2. Only the MMR vaccine is associated with autism. 3. Thimersal has been linked to learning disabilities, but not autism. 4. Researchers have found no evidence that thimersal is linked to autism.
Researchers have found no evidence that thimersal is linked to autism.
Photophobia can occur in which communicable disease process? 1. German measles 2. Influenza 3. Rubeola 4. Hand-Foot-Mouth Disease
Rubeola
Small red spots in the mouth with a bluish-white center, also known as Koplik spots, are a characteristic sign of: 1. Roseola 2. Rotavirus 3. Rubella 4. Rubeola
Rubeola
22. A 6 month old is brought in to the office for a well-child visit. The baby was born prematurely at 34 week's gestation. Which of the following vaccines is recommended for the infant to reduce the risk of Respiratory Syncytial Virus Bronchiolitis? 1. Synagis 2. RotaTeq 3. Relenza 4. Immune globulin
Synagis
The family is asking questions about the differences between Hepatitis A and Hepatitis B vaccines for their 2-year-old daughter. The nurse knows that the family understands the difference between the vaccines when the father states: 1. "The Hepatitis A vaccine should be given at birth, then repeated six months later." 2. "The Hepatitis A vaccine is given in two doses, at least six months apart." 3. "The Hepatitis B vaccine requires a live virus, and the Hepatitis A vaccine does not." 4. "The Hepatitis B vaccine should not be given because our child is allergic to eggs.
The Hepatitis A vaccine is given in two doses, at least six months apart."
Tabitha has been admitted with influenza. The nurse discusses the plan of care with the family. The child will be in droplet isolation. The reason for the droplet isolation is because: 1. The goal is to not bring in any outside infections to the child, as pneumonia can be a complication. 2. The goal is to prevent the spread of the virus to any of the health-care workers and other patients. 3. The goal is to prevent a massive outbreak within the community. 4. The goal is to provide a quiet environment for the child to rest.
The goal is to prevent the spread of the virus to any of the health-care workers and other patients
A complication of scarlet fever is glomerulonephritis. This is because: 1. The high doses of penicillin used to treat the disease process are hard for the kidneys to process. 2. The group A beta-hemolytic streptococcus can affect the kidneys if not treated. 3. The Epstein-Barr virus can affect the kidneys if not treated. 4. The HIV irus can affect the kidneys if not treated.
The group A beta-hemolytic streptococcus can affect the kidneys if not treated.
56. A pregnant school teacher has been notified that there is a case of erythema infectiosum in her classroom. The school nurse speaks to the teacher because if she contracts erythema infectiosum, the mother and baby are at risk for: 1. Growth restrictions in an unborn baby. 2. The mother to have a miscarriage. 3. The mother to have slow weight gain and affect the placenta. 4. All of the above.
The mother to have a miscarriage
25. A 17-year-old boy is admitted with meningitis and for treatment of dehydration. The patient needs to be placed on droplet precautions. Which of the following interventions should be taken for droplet precautions? 1. Anyone entering the room must wear gloves and a gown. 2. The patient needs to be placed in a negative pressure room. 3. Anyone entering the room needs to wear a respirator mask upon entering. 4. The patient must wear a mask when being transported outside of the roo
The patient must wear a mask when being transported outside of the room
Children may be given a calculated dose of acetaminophen or ibuprofen following an immunization.
True
Which of the following vaccines can be given subcutaneously? 1. MCV4 2. Varicella 3. MMR 4. Rotavirus
Varicella
Which of the following supplements has been recommended by the World Health Organization and has been found to reduce the risk of pneumonia and death from measles in children under age 2? 1. Iron 2. Folic Acid 3. Vitamin A 4. Vitamin D
Vitamin A
The period of time when a child begins to have mild signs and symptoms until the main illness appears, and which is associated with increased communicability, is referred to as: 1. Transmission. 2. Susceptibility. 3. Prodromal period. 4. Incubation period.
Prodromal period
64. An outbreak of German measles has occurred at the middle school. The school nurse has been notifying the parents of the children, along with the staff. The best prevention against contracting the highly contagious disease is: 1. To keep ill children at home. 2. To let children come to school after 16 days from the last known day of exposure because if there are no signs and symptoms, the child will not become ill. 3. Receiving the MMR vaccine. 4. Good hand washing.
Receiving the MMR vaccine
A mother and father are reading a pamphlet about the Hepatitis B series of vaccines for their newborn daughter. The father asks the nurse how many shots their baby will need to receive. The nurse knows that her teaching has been effective when the parents respond with: 1. "A shot will be given today, then at her two month checkup, and again at her six month checkup." 2. "The shot cannot be given until she is at least 6 months old because she will need to build some immunity to the virus first." 3. "The injection is given in just one does, and then a booster is administered before she goes to school." 4. "She does not need the immunization because her mother was Hepatitis B neg
"A shot will be given today, then at her two month checkup, and again at her six month checkup."
68. A 2-month-old presents to the pediatric clinic with a cough with crowing at the end, coryza, and vomiting. The diagnosis is whooping cough, and the child is taken immediately to the pediatric unit at the nearby hospital. The nurse explains the plan of care for the infant to the mother. The nurse should say: (Select all that apply.) 1. "Feedings will be small in an attempt to keep the infant from vomiting." 2. "We will be watching how the infant breathes and will provide extra support if needed." 3. "We plan to wake the infant every hour in order to assess and feed the infant to make sure that he/she is getting enough calories." 4. "Cool mist humidification will be continuous to help keep the fever down." 5. "An IV will be placed for antibiotics."
-Feedings will be small in an attempt to keep the infant from vomiting." -We will be watching how the infant breathes and will provide extra support if needed." -an IV will be placed for antibiotics
In a nursing class, the instructor is discussing the differences between acellular vaccines and toxoids. The students are able to identify acellular vaccines because: 1. The vaccines produce a toxin to get an immune response. 2. The vaccine has a whole viral protein cell, unlike the toxoids. 3. The vaccine has fragments of cells to stimulate an immune response. 4. The vaccine is inactive and produced by whole cell bacteria.
. The vaccine has fragments of cells to stimulate an immune response.
38. The pediatric nurse is discussing vaccines for a well-child check at 1 year of age. Common vaccines to give at this time include: 1. Hib (Hemophilus Influenzae Type B) 2. RotaTeq. 3. MCV4 (Meningococcal). 4. DRaP (Diphtheria, Tetanus, Pertussis).
Hib (Hemophilus Influenzae Type B)
54. Anne goes into her pediatric patient's room for her 0400 assessment of a child who was admitted with dehydration 12 hours ago. Anne begins her assessment and knows that there is a medical emergency when the findings indicate: 1. A child with a regular heart rate and a respiratory rate at the high end of normal. 2. A child who is awake and wanting to play on the PS3. 3. A child who has a purple rash in his extremities, and it does not blanch. 4. A child who complains that he is tired and vomits thick mucus.
A child who has a purple rash in his extremities, and it does not blanch.
A 3 year old is brought to the emergency department with a fever that has lasted for the past three days. The mother is concerned because the toddler is very lethargic. The child is crying, but the nurse notices no tears, and her eyes look sunken. The nurse anticipates which of the following priority interventions? 1. Administering intravenous fluids 2. Placing the child in contact precautions 3. Decreasing stimulation and providing time to rest 4. Administering antibiotics to reduce the child's fever
Administering IV fluids
7. Which of the following is a high risk group among children and adolescents for contracting Hepatitis B? 1. Those living in institutions 2. Individuals infected by sexual partners 3. Children who are hemophiliacs or are receiving frequent blood transfusions 4. All of the above
All of the above
Reye's Syndrome can be a life-threatening disease affecting the brain and liver of children. The cause of this disease comes from the ingestion of: 1. Ibuprofen during a viral illness. 2. Ibuprofen during a bacterial illness. 3. Aspirin or other salicylates during a viral illness. 4. Aspirin or other salicylates during a bacterial illness.
Aspirin or other salicylates during a viral illness.
The agent responsible for the Hand-Foot-Mouth Disease is: 1. Paramyxovirus. 2. Coxsackie Virus. 3. Human Herpesvirus 6. 4. Human Parvovirus B 19.
Coxasackie virus
The mother of a 4-year-old girl brings her daughter in to be evaluated for a fever of 101 degrees and a headache that has lasted for the past three days. The mother was concerned this morning when the child woke up and had reddened cheeks that looked like she had been slapped. The nurse suspects the child has: 1. Impetigo. 2. Fifth's disease. 3. German measles. 4. Hand-Foot-Mouth Disease
Fifths disease
A 2-month-old infant is presenting for a well-child visit and is due to receive the Rotavirus vaccine. The nurse recognizes that obtaining the patient's history is essential in the administration of immunizations and preventing communicable disease. Which of the following should the nurse assess for prior to administering this vaccine? 1. Lung disease 2. Cardiac defects 3. Seizure disorder 4. Gastrointestinal disorders
Gastrointestinal disorders
59. A 12-year-old girl presents to the emergency room with complaints of a sore throat, fever, and malaise for the past six days. The parents have noticed that she has been progressively sleeping more. The patient is diagnosed with mononucleosis. The caregiver education done by the nurse should include all of the following except: 1. Rest periods should follow play/activity periods. 2. After the girl goes back to school, she should not participate in ice hockey for 6 to 8 weeks. 3. Keep her well hydrated, and provide nutrition that is high in protein. 4. Give acetaminophen or ibuprofen for fever management.
Give acetaminophen or ibuprofen for fever management.
Jasmine's mom calls the pediatric triage nurse and asks if she can give aspirin because of a fever and achiness due to chicken pox. The nurse knows that the mother understands the reason not to give the aspirin in this situation when she states: 1. "If I give aspirin, she is as risk for major issues with her brain and liver." 2. "I can give the aspirin in a low dose and be safe." 3. "I can give the aspirin in three separate doses throughout the day." 4. "I should not give her aspirin because this can make her blood thin and not help with her get better."
If I give aspirin, she is as risk for major issues with her brain and liver."
4. A 27-year-old mother has just delivered a healthy 7 lb. 3 oz. baby boy. Which of the following is true regarding the baby's immunization schedule for Hepatitis B? 1. The infant will need two doses administered at least 6 months apart. 2. The infant should not receive the vaccine until at least 12 months of age. 3. The infant will not need any vaccines at this time because of passive immunity from the mother. 4. If the mother is Hepatitis B surface antigen positive, the baby will need 0.5ml of Hepatitis B Immune Globulin.
If the mother is Hepatitis B surface antigen positive, the baby will need 0.5ml of Hepatitis B Immune Globulin.
RSV can be life threatening for infants and young children. Children who are at high risk for vulnerability to RSV include all of the following except: 1. Immunocompromised school-age children. 2. Infants with congenital heart defects. 3. Premature infants. 4. Respiratory compromised toddlers.
Immunocompromised school-age children.
16-year-old girl comes into the office for a sports physical. The recommendation is made for the girl to receive the Human Papillomavirus vaccine. Her mother is upset about the recommendation because she is sure her daughter is not yet sexually active. Which of the following responses would be most appropriate for the nurse to give? 1. "Your daughter should receive the vaccine even though she has a yeast allergy." 2. "We need to give her a pregnancy test as well prior to administering the vaccine." 3. "She is overdue for the vaccine because she should have received it when she was 9." 4. "It is best if the vaccine is given before she becomes sexually active in order to prevent genital warts and cervical cancer in the future."
It is best if the vaccine is given before she becomes sexually active in order to prevent genital warts and cervical cancer in the future."
14. A mother brings in her 4-year-old daughter to be evaluated for a rash all over her torso. The mother states that the 4 year old was recently around her grandmother, who is presently recovering from shingles. The mother is now concerned that the child has contracted shingles. Which of the following would be an appropriate response by the nurse to the mother? 1. "It is possible that she has contracted shingles from her grandmother." 2. "She has contracted chickenpox since both diseases are from the same virus." 3. "She can only get shingles from someone who has chickenpox." 4. "This rash does follow the normal pattern along a dermatome or particular nerve fiber."
It is possible that she has contracted shingles from her grandmother."
Lacey, a 9-year-old African American girl, has a history of Sickle Cell disease. She is scheduled to receive her polio vaccine today. The nurse knows that she should give the Inactive Poliovirus Vaccine (IPV) because: 1. Lacey's race has a higher risk of reaction to the oral vaccine. 2. Lacey is too old for the oral vaccine. 3. Lacey is at high risk for paralysis because of her immunodeficiency. 4. The oral vaccine is not as effective for females as it is for males.
Lacey is at high risk for paralysis because of her immunodeficiency.
Which of the following vaccines is contraindicated for those who are pregnant or immunocompromised? 1. Tdap and Rotarix 2. MMR and varicella 3. Hepatitis and pneumococcal 4. Pertussis and hemophilus influenza type b
MMR and varicella
An 18-year-old boy is getting ready to leave for college and will be living in a dormitory. Which of the following vaccines is recommended prior to his departure? 1. Hepatitis A 2. Pneumococcal polysaccharide (PPSV23) 3. Pneumococcal conjugate vaccine (PCV13) 4. Meningococcal conjugate vaccine (MCV4)
Meningococcal conjugate vaccine (MCV4)
Micah has come for his pre-kindergarten checkup at the pediatric clinic. His mother reports that Micah is behind on his immunizations because of issues with extreme prematurity. She also reports that Micah had chicken pox three months ago. The nurse knows that Micah will have which type of immunity toward the Varicella-zoster virus? 1. Vaccine-induced immunity 2. Natural active immunity 3. Passive active immunity 4. None of the above
Natural active immunity
When a fetus receives antibodies from the mother by way of the placenta, this is known as: 1. Active immunity. 2. Natural Passive immunity. 3. Transmission immunity. 4. Attenuated immunity.
Natural passive immunity
32. The parents of a 1 year old have brought their child in to receive his vaccinations. The child is due for his fourth and final dose of Haemophilus Influenzae type B (HIB). The nurse reviews with the parents the importance of the vaccine in the prevention of: 1. Pneumonia. 2. Otitis media. 3. Liver disease. 4. Vomiting and diarrhea.
Otitis media
44. A nurse is assessing a pediatric patient prior to giving the meningococcal vaccine. Which statement by the father would be an indication not to give the patient the vaccine? 1. "She is allergic to those latex gloves you are using, so can you please use the latex-free ones?" 2. "She is allergic to those latex-free gloves, so please use the latex gloves." 3. "She is allergic to gluten, so this vaccine should not be given." 4. "She is allergic to rubbing alcohol, so please do not cleanse the site with it."
She is allergic to those latex gloves you are using, so can you please use the latex-free ones?"
39. A nurse is reviewing the immunization schedule for a 9-month-old infant. The schedule notes that the child is due to receive the Rotarix vaccine today. During the assessment, the mother tells the nurse that the child had surgery three weeks ago for intussusception. The nurse knows that: 1. The child should wait to get the vaccine because of the recent surgery. 2. The child should not receive the vaccine because of the past history of intussusception. 3. The child should be positioned so that the medication can be given orally. 4. The child should receive the medication regardless of past history.
The child should not receive the vaccine because of the past history of intussusception.
69. Malcolm has given his pediatric patient three vaccines. Documentation is being placed in the patient's chart. Malcolm knows that he must document: (Select all that apply.) 1. The lot number of the vaccine. 2. The site of the injection. 3. The date of administration. 4. The consent for administration. 5. The side effects the patient exhibited.
The lot number of the vaccine. The site of the injection. The date of administration. The consent for administration.
58. The doctor has prescribed Zanamivir for a 4-year-old patient. The nurse questions this order because: 1. The medication is only to be given to adults with pneumonia. 2. The medication is only recommended for infants with Hand-Foot-Mouth Disease. 3. The medication is only recommended for ages 7 and older for Influenza. 4. The medication has proven to be ineffective in the management of Influenza.
The medication is only recommended for ages 7 and older for Influenza.
26. A 5-year-old girl is being admitted for dehydration from influenza. The girl is started on Tamiflu. Which of the following is true about the administration of this medication? 1. Tamiflu is only effective for Influenza type A. 2. Tamiflu is only effective for Influenza type B. 3. The medication must be given within 48 hours of the onset of symptoms. 4. The medication is not recommended for children with airway diseases, such as asthma.
The medication must be given within 48 hours of the onset of symptoms.
8. A 15-year-old girl has been diagnosed with Hepatitis B and will be starting treatment with Interferon-alpha (IFN). The nurse needs to educate the patient on this medication. Which of the following should be included in this education? 1. The medication reduces the replication of the Hepatitis B virus. 2. The patient needs to remain on treatment for one year. 3. Patients may develop resistance to Interferon-alpha over time. 4. Interferon-alpha has fewer side effects than Lamivudine, which is also used to treat Hepatitis B.
The medication reduces the replication of the Hepatitis B virus.
35. A 9-year-old girl is scheduled to receive a series of the Hepatitis B vaccines because she did not receive them at birth. The child comes to the outpatient clinic for her second dose. Before offering the vaccine, the nurse assesses the child and asks the parents if she has an allergy to: 1. Eggs. 2. Penicillin. 3. The previous dose of the Hepatitis B vaccine. 4. Sulfonamides.
The previous dose of the Hepatitis B vaccine.
Which of the following should be considered in the administration of the influenza vaccine? 1. The vaccine is contraindicated for individuals who are allergic to eggs or egg products. 2. The Live Attenuated Influenza Virus (LAIV) is a safe alternative for children of any age. 3. The influenza vaccine is contraindicated in children with asthma and wheezing within the past 12 months. 4. Since influenza has a bimodal seasonal pattern, children under 18 years of age should receive two doses of the vaccine.
The vaccine is contraindicated for individuals who are allergic to eggs or egg products.
Logan, a, 11-year-old boy, was diagnosed with parotitis three days ago at the pediatric outpatient clinic. His mother calls the triage nurse to report that Logan is complaining of pain in his peritoneal area. The nurse knows that: 1. This is a medical emergency, and Logan should be brought to the emergency room right away. 2. The virus can cause orchitis. 3. The virus can cause oophoritis. 4. This is a common complaint because it is hard for a child with parotitis to urinate.
The virus can cause orchitis
Jackson, a 9-month-old infant, is an inpatient on a pediatric floor due to a diagnosis of RSV. His mother is concerned because everyone comes into the room with a gown, mask, and gloves. The nurse attempts to educate his mother on the process of the disease. The nurse knows that the mother has an understanding of the illness when she states: 1. "I can catch the virus just like a cold." 2. "The virus is spread by droplets, and the health-care workers need to make sure not to carry Jackson's illness to other patients." 3. "This is to protect Jackson from getting an illness from the health-care providers." 4. "This is standard procedure on a pediatric floor during the RSV season."
The virus is spread by droplets, and the health-care workers need to make sure not to carry Jackson's illness to other patients."
Synagis is being prescribed for Kenyon, a 60-day-old, premature infant, prior to leaving the NICU. The nurse explains the reason for the medication to his mother. The mother understands that the medication will need: 1. To be given in the pediatrician's office every 28 to 30 days for the next year. 2. To be given in the pediatrician's office every 28 to 30 days for the next 3 to 5 months while it is RSV season. 3. To be given in the pediatrician's office at 6 months and again at 9 months. 4. To be given in the pediatrician's office at 1 year of age.
To be given in the pediatrician's office every 28 to 30 days for the next 3 to 5 months while it is RSV season.
