i read this question to Saunders Comprehensive.Chapter 45 page 505.
5. A 9-year-old child ith leukemia is in remission and has returned to school. The school nurse calls the mother of the child and tells the mother that a classmate has just been diagnosed with chickenpox. The mother immediately calls the clinic nurse because the leukemic child has never had chickenpox. The most appropriate response by the clinic nurse to the mother is
1. "Monitor the child for an elevated temperature, and call the clinic if a temperature occurs."
2. "Keep the child out of school for a 2-week period."
3. " There is no need to be concerned."
4. "Bring the child into the clinic for a vaccine."
The answer to this question is 4 accdg to the book.
My question is, is it ok to administer varicella vaccine to an immunocompromised child in this situation? because the book say so.
Not all that you read in a book as the 'correct' answer, is correct...
Not all situations are the same....not all patients are the same....not all nurses are the same...
Maybe the beginning of wisdom in nursing is recognizing this one thing...
Hum....nice thought....true....but not in this case. The book says the answer is #4. Short of contacting the publisher and asking if it's a mistake the learner will have to accept it as the correct answer.
There are situations in nursing that are black & white. Multiple choice tests are one of them. Currently NCLEX is multiple choice and very black & white indeed.
Having taken alot of multiple choice tests through Excelsior and passing them all with an A. Here' my take.
1. "Monitor the child for an elevated temperature, and call the clinic if a temperature occurs." #1 is inappropriate, why wait for a temp to occur and who says the temp would have anything to do with chicken pox, in an immunocompromised child anything could be the cause of the temp.
2. "Keep the child out of school for a 2-week period." If the child was already exposed keeping the child out of school would do no good.
3. " There is no need to be concerned." Obviously not a correct answer if your child is immunocompromised.
4. "Bring the child into the clinic for a vaccine." Maybe not the best answer but is the only one that may be appropriate. It doesn't even say what type of vaccine. I think the point in this question is that the child needs medical care of some type. I'm not saying it's correct. Were talking black & white here and I think it's the only appropriate choice by process of elimination.
The answer to this question is 4 according to the book.
DutchgirlRN, ASN, RN
3,932 Posts
Hum....nice thought....true....but not in this case. The book says the answer is #4. Short of contacting the publisher and asking if it's a mistake the learner will have to accept it as the correct answer.
There are situations in nursing that are black & white. Multiple choice tests are one of them. Currently NCLEX is multiple choice and very black & white indeed.
Having taken alot of multiple choice tests through Excelsior and passing them all with an A. Here' my take.
1. "Monitor the child for an elevated temperature, and call the clinic if a temperature occurs." #1 is inappropriate, why wait for a temp to occur and who says the temp would have anything to do with chicken pox, in an immunocompromised child anything could be the cause of the temp.
2. "Keep the child out of school for a 2-week period." If the child was already exposed keeping the child out of school would do no good.
3. " There is no need to be concerned." Obviously not a correct answer if your child is immunocompromised.
4. "Bring the child into the clinic for a vaccine." Maybe not the best answer but is the only one that may be appropriate. It doesn't even say what type of vaccine. I think the point in this question is that the child needs medical care of some type. I'm not saying it's correct. Were talking black & white here and I think it's the only appropriate choice by process of elimination.
The answer to this question is 4 according to the book.