hard · NCLEX-RN physiological
A 4-year-old child with sickle cell disease (HbSS) is seen in the pediatric clinic for a well-child visit. Due to functional asplenia, the child has a high risk for life-threatening infections. Which immunizations and preventive therapies are essential for this client's care plan? Select all that apply.
- Administer the 23-valent pneumococcal polysaccharide vaccine (PPSV23) as prescribed.
- Withhold all live-attenuated vaccines, such as the Measles, Mumps, and Rubella (MMR) vaccine, due to immunocompromised status.
- Administer the annual inactivated influenza vaccine.
- Verify that the child is receiving daily oral prophylactic penicillin as prescribed.
- Teach the parents to administer oral aspirin daily to prevent febrile infectious episodes.
- Discontinue penicillin prophylaxis immediately because the child has reached age 4.
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