Difficulty: Medium
Average Score: 93%
Simulated
Passage / Scenario
15-month-old child scheduled for MMR vaccineA nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?
Correct answer
A
Rationale
Correct Answer: A: Allergy to neomycin.
Rationale: Neomycin is an antibiotic that is present in the MMR vaccine as a preservative. An allergy to neomycin is a contraindication for receiving the MMR vaccine due to the risk of an allergic reaction. It is crucial to avoid administering the vaccine in individuals with known allergies to any component of the vaccine.
Summary of other choices:
B: Family history of seizures is not a contraindication for the MMR vaccine.
C: An upper respiratory infection 2 days ago is not a contraindication unless the child is currently ill.
D: A temperature of 37.2┬░C (99┬░F) is slightly elevated but not a contraindication unless the child has a fever over 38.5┬░C (101.3┬░F).
Rationale: Neomycin is an antibiotic that is present in the MMR vaccine as a preservative. An allergy to neomycin is a contraindication for receiving the MMR vaccine due to the risk of an allergic reaction. It is crucial to avoid administering the vaccine in individuals with known allergies to any component of the vaccine.
Summary of other choices:
B: Family history of seizures is not a contraindication for the MMR vaccine.
C: An upper respiratory infection 2 days ago is not a contraindication unless the child is currently ill.
D: A temperature of 37.2┬░C (99┬░F) is slightly elevated but not a contraindication unless the child has a fever over 38.5┬░C (101.3┬░F).