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Practice Question

A nurse is preparing to vaccinate a child with a CD4 count of 150 cells/mm3. Which vaccines are contraindicated for this client? Select all that apply.

Answer Choices:

Correct Answer:

Measles, mumps, and rubella (MMR) vaccine

Rationale:

🚫Children with a CD4 count <200 are considered severely immunocompromised, and live vaccines are contraindicated due to infection risk.

💉MMR, varicella, and rotavirus are live-attenuated vaccines and should not be given in this situation.

💊Meningococcal and hepatitis B are inactivated vaccines and are safe for immunocompromised children.

🦠Live vaccines can cause systemic infection in children with weakened immune systems.

📌Core Message

Avoid live vaccines like MMR, varicella, and rotavirus when CD4 count is low.

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This question is from NCLEX-RN Practice Exam 3 which contains 100 questions.

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NCLEX-RN Practice Exam 3

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Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX-RN-Practice Exams
  • Domain: NCLEX RN (Practice Exams)
  • Answer Choices: 5
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