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Exhibit 1

Provider Prescriptions​Tuberculin skin test (TST)Measles, mumps, and rubella (MMR) vaccineInactivated influenza vaccineDiphtheria, tetanus, and pertussis (DTaP) vaccine​
Exhibit 2
Graphic RecordRespiratory rate 24/minHeart rate 115/minTemperature 36.9° C (98.4° F)​
Exhibit 3
History and Physical​Age 15 monthsHeight 71.1 cm (28 in)Allergies Neomycin (anaphylactic reaction)Caregiver reports rhinitis with clear nasal drainage for 2 daysOccasional nonproductive cough for 2 daysHistory of asthma​
A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take?
a) Withhold the measles, mumps, and rubella (MMR) vaccine.
b) Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
c) Withhold the influenza vaccine.
d) Withhold the tuberculin skin test (TST).

1 Answer

5 votes

Final answer:

The nurse should withhold the MMR vaccine from the toddler due to their history of an anaphylactic reaction to Neomycin, which is an ingredient in the MMR vaccine. Administering the DTaP and influenza vaccines do not appear to be contraindicated based on the information provided.

Step-by-step explanation:

A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Given that the toddler has an allergy to Neomycin with a history of anaphylactic reaction and considering that Neomycin is used in measles, mumps, and rubella (MMR) vaccines, the nurse should plan to withhold the MMR vaccine. Allergic reactions to vaccine components can cause serious harm, and anaphylaxis is a contraindication to vaccination with products containing that allergen.

Regarding the other options, withholding the diphtheria, tetanus, and pertussis (DTaP) vaccine or the influenza vaccine would not be necessary based on the provided history and physical, unless there is a specific contraindication not mentioned. The tuberculin skin test (TST) does need to be considered, but it is not typically contraindicated by a vaccine component allergy like Neomycin.

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