A parent brings a 12-month-old child to the pediatrician's o... | NCLEX PN-Practice Exam-3

Practice Question

A parent brings a 12-month-old child to the pediatrician's office for an influenza vaccination. Before administering the immunization, the nurse notes the child is acting fussy, is warm and flushed, and has rhinorrhea. Which of the following is the nurse's priority action?

Answer Choices:

A. Assess the child for additional symptoms of febrile illness. ✓ Correct Answer

B. Advise the parent that the immunization will need to be given at a later date because the child has a fever.

C. Provide the child with cool fluids to reduce the fever and applying an anesthetic cream to the injection site.

D. Notify the pediatrician and obtaining an order for an antipyretic.

Correct Answer:

Assess the child for additional symptoms of febrile illness.

Rationale:

👶The presence of fever, fussiness, and rhinorrhea suggests a potential underlying illness that must be evaluated before vaccination.

🩺Administering vaccines during acute illness can exacerbate symptoms or confound the diagnosis.

🌡️Assessment precedes intervention, including any antipyretics or postponing immunization.

⚠️Vaccines are typically deferred when a moderate or severe illness is suspected to prevent complications.

📌Core Message

When a child shows signs of illness before vaccination, the priority is assessment to determine if immunization is appropriate or should be postponed.

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This question is from NCLEX PN-Practice Exam-3 which contains 94 questions.

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NCLEX PN-Practice Exam-3

94 Questions

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Question Details

Category: NCLEX PN
Subcategory: NCLEX-PN Practice Exams
Domain: NCLEX-PN (Practice Exams)
Answer Choices: 4

Rhenis Nursing

Practice Question

A parent brings a 12-month-old child to the pediatrician's office for an influenza vaccination. Before administering the immunization, the nurse notes the child is acting fussy, is warm and flushed, and has rhinorrhea. Which of the following is the nurse's priority action?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse is providing care for a client diagnosed with Graves' disease. Which of the following nursing interventions should be included in the client's care to provide maximum comfort?

A 52-year-old hospitalized client who was sitting in a chair has suddenly slumped over. The client is not breathing and is pulseless, and cardiopulmonary resuscitation (CPR) is in progress by another nurse. Which action would prompt the nurse to intervene?

A client who was treated for emphysema and cellulitis with leg ulcerations is being discharged home with home health care services. The nurse knows that discharge planning for this client should involve which materials and equipment? Select all that apply.

The nurse is caring for a client who is ordered a clear liquid diet. Which of the following items are permitted on this type of diet? Select all that apply.

The nurse has just completed administering a client's morning dosage of NPH insulin. The client asks the nurse, "If my blood sugar is going to drop, when will it occur?" Which of the following is the nurse's best response?

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NCLEX PN-Practice Exam-3

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