A father asks the nurse about the immunization schedule for his 15-month-old toddler, who is being treated for acute lymphoid leukemia. What vaccine is contraindicated for a child undergoing chemotherapy?a. Hib (influenza)b. HepB (hepatitis B) c. MMR (measles, mumps, rubella)d. DTaP (diphtheria, tetanus, acellular pertussis)

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1. A father asks the nurse about the immunization schedule for his 15-month-old toddler, who is being treated for acute lymphoid leukemia. What vaccine is contraindicated for a child undergoing chemotherapy?

a. Hib (influenza)

b. HepB (hepatitis B)

c. MMR (measles, mumps, rubella)

d. DTaP (diphtheria, tetanus, acellular pertussis)

D&E!

Immunization programs prevent the occurrence of disease and are considered primary interventions. Stopping smoking prevents the occurrence of disease and is considered a primary intervention. Preventing disabilities is a tertiary intervention. Correcting dietary deficiencies is a secondary intervention. Establishing goals for rehabilitation is a tertiary intervention.
B!

Eating various foods within recommended exchange units is correct. Exchange lists allow clients to select preferred foods that are acceptable within the prescribed dietary plan. The client who believes that eating anything as long as enough insulin is taken does not fully understand the diabetic teaching. Clients should adhere to a prescribed dietary plan. The client should not take regular insulin at night on an empty stomach but should have a snack before going to bed to prevent nighttime episodes of hypoglycemia. The client should eat a preset balanced breakfast, not a very small one, because it is calculated into the entire plan to balance nutrition, insulin, and exercise.
B!

The infant's response indicates that the tube may be in the trachea rather than the stomach. The tube should be removed, reinserted, and verified for its placement before the feeding is started. Auscultating for breath sounds does not provide information about the placement of the tube. The tube should be removed immediately; it is unsafe to assess the infant for additional signs of respiratory distress. It is unsafe to administer the feeding until placement in the stomach has been confirmed.
C!

The MMR vaccine contains attenuated live virus and should not be administered to a child undergoing chemotherapy because of the compromise of the child's immune system. There are no contraindications to administering the Hib vaccine HepB vaccine, or DTaP vaccine to a child who is immunosuppressed.

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All trademarks, logos and brand names are the property of their respective owners. All company, product and service names used in this website are for identification purposes only. Use of these names, trademarks and brands does not imply endorsement.

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