Question: The mother of a 15-month-old child who is immunosuppressed asks about continuation of the childhood vaccines. Which immunizations are not recommended to be given to the child during immunosuppression?
1 Diphtheria, tetanus, and pertussis (DTaP); hepatitis B
2 Haemophilus influenzae B
3 Varicella; measles, mumps, and rubella (MMR)
4 Inactivated polio; diphtheria, tetanus, and pertussis (DTaP)
Rationale: Live viruses are usually not administered when a client is immunosuppressed. Frequently, measles-mumps-rubella vaccine and varicella vaccine are not given to the immunocompromised client; they may be administered when the client has a more competent immune system. Childhood vaccinations are encouraged when the client is not immunocompromised (in remission or not on immunosuppressant medications).
This week’s NCLEX exam practice question came from:
Zerwekh: Illustrated Study Guide for the NCLEX-RN Exam, 7th Edition, Chapter 7, Page 131, Question 2
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