Several 12-month-old infants are brought to the clinic for routine immunizations. Which situation would be most important for the nurse to clarify with the provider before administering the vaccination?

Question

Quizplus · Accepted Answer

Vaccines should be administered at specific ages and intervals as passive placental immunity decreases and the child's immune system develops enough to produce antibodies in response to the vaccine. The nurse should always assess for allergies to vaccine components (eg, neomycin, gelatin, yeast) and screen for an allergy to latex (eg, lips swelling from contact with bananas, kiwis, or latex balloons). Severely immunocompromised children (eg, corticosteroid therapy, chemotherapy, AIDS) generally should not receive live vaccines (eg, varicella-zoster vaccine, measles-mumps-rubella, rotavirus, yellow fever) (Option D). Passive immunization may be the only option for children with severe immunosuppression or those unable to mount an antibody immune response. Common misperceptions of contraindications to immunization: Penicillin allergy (Option A) Mild illness (with or without an elevated temperature) (Option B) Mild site reactions (eg, swelling, erythema, soreness) (Option C) Recent infection exposure Current course of antibiotics Educational objective: Clients should be assessed for allergies to vaccine components. Immunocompromised clients should not receive live vaccines. Local reactions, minor illness, exposure to an infectious source, and allergies to nonvaccine components are not contraindications to immunization.

Several 12-Month-Old Infants Are Brought to the Clinic for Routine