Community Health Nursing NCLEX Questions

A child is scheduled to receive inactivated polio vaccine (IPV), and a nurse preparing to administer the vaccine reviews the child's record. The nurse questions the administration of IPV if which of the following is documented in the child's record? A. Recent recovery from a cold B. A history of frequent respiratory infections C. A history of an anaphylactic reaction to neomycin D. A local reaction at the site of a previous IPV - ANS: C 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. 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 clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). Which of the following are general contraindications associated with receiving a live virus vaccine? (Select all that apply) A. The child has symptoms of a cold B.The child had a previous anaphylactic reaction to the vaccine. C. Mother reports that the child is having intermittent episodes of diarrhea. D. Mother reports that the child has not had an appetite and has been fussy E. The child has a disorder that caused a severely deficient immune system F. Mother reports that the child has recently been exposed to an infectious disease. - ANS: B, E The general contraindications for receiving live virus vaccines include a previous anaphylactic reaction to a vaccine or a component of the vaccine. Additionally, live virus vaccines generally are not administered to individuals with a severely deficient immune system, individuals with a severe sensitivity to gelatin, or pregnant woman A vaccine is administered