Infectious Disease & Vaccination

The mother of a 1-month-old calls the pediatrician office and reports her baby has a fever of 100.7F. What is the correct response by the nurse?

• "Provide more frequent comfort measures"

• "Administer ibuprofen and monitor effects"

• "Bring the infant in for evaluation"

• "Increase the baby's liquid intake today"

The nurse is developing a discharge plan for a 5-year-old with chickenpox. Which intervention is contraindicated?

• Provide diversionary activities

• Keep the child's fingernails short

• Monitor fluid intake and output

• Administer aspirin for fever

A 15-month-old is visiting the clinic for the first time. The mother has forgotten the immunization record, but she states that the child usually visits the local health department and is up to date. What is the correct acton by the nurse?

• Ask the mother to bring the records to the 18-month visit

• Call the local health department to verify the child's immunization status

• Begin a "catch-up" schedule since there are no records

• Reschedule the child's appointment until the records are available

Which of the following is considered a severe reaction to immunizations?

• inconsolable crying

• vomiting

• pain/swelling at injection site

• poor appetite

Which of the following is considered a mild reaction to immunization?

• seizure

• wheezing

• rash 1-2 weeks after injection

• fever over 103F

Circle where you would administer a DTaP vaccine (IM) to a 6-month-old infant