Page 598 - Saunders Comprehensive Review For NCLEX-RN

option.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Implementation
Content Area: Pediatrics: Infectious/Communicable Diseases
Health Problem: Pediatric-Specific: Immunizations
Priority Concepts: Development; Health Promotion
References: Centers for Disease Control and Prevention (CDC),
http://www.cdc.gov/vaccines/schedules/index.html; McKinney et al. (2018), p. 75.

173. Answer: 2, 5

Rationale: The general contraindications for receiving live virus vaccines include a
previous anaphylactic reaction to a vaccine or a component of a vaccine. In addition,
live virus vaccines generally are not administered to individuals with a severely
deficient immune system, individuals with a severe sensitivity to gelatin, or
pregnant women. A vaccine is administered with caution to an individual with a
moderate or severe acute illness, with or without fever. Options 1, 3, 4, and 6 are not
contraindications to receiving a vaccine.
Test-Taking Strategy: Focus on the subject, contraindications for a live virus
vaccine. This indicates that you need to select the situations in which a live virus
vaccine cannot be given because doing so can cause harm to the child. Noting the
word anaphylactic in option 2 and the words severely deficient in option 5 will direct
you to these options.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pediatrics: Infectious/Communicable Diseases
Health Problem: Pediatric-Specific: Immunizations
Priority Concepts: Clinical Judgment; Safety
References: McKinney et al. (2018), p. 77;
Centers for Disease Control and Prevention (CDC),
http://www.cdc.gov/vaccines/schedules/index.html; Hockenberry, Wilson (2015), pp.
207-208.

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