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Practice Question

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Answer Choices:

Correct Answer:

Allergy to neomycin

Rationale:

✳️ A severe allergy to neomycin is a contraindication for receiving the MMR vaccine, as neomycin is used as a preservative or stabilizer in the vaccine.

✳️ Children with this allergy are at risk of experiencing a life-threatening anaphylactic reaction following administration.

✳️ The CDC specifically lists anaphylactic reactions to neomycin or gelatin as absolute contraindications to the MMR vaccine.

✳️ Other listed options, like a recent minor illness (URI), low-grade fever, or family history of seizures, are not contraindications and the vaccine may still be administered safely in those cases.

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This question is from RN Nursing Care of Children 2019 with NGN which contains 70 questions.

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A nurse is planning to admit a preschooler from the PACU following the removal of a Wilms tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler?

Answer Choices:

A. A child who has impetigo
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A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

Answer Choices:

A. Respiratory rate 28/min
B. Capillary refill 1 second
C. Weight loss 7%
D. Bradycardia
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.

Answer Choices:

A. Instruct the parent to ensure the pneumococcal vaccine is current.
B. Give oral hydroxyurea.
C. Monitor oxygen saturation continuously.
D. Place the client on strict bed rest.
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F. Administer meperidine IV for pain.
From Exam
RN Nursing Care of Children 2019 with NGN

70 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: 🤱🏼Maternity & Newborn Care
  • Answer Choices: 4
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