A 7-month-old child has a temperature of 39.2°C and appears lethargic with poor feeding. The child is due for routine vaccines today. What should the nurse do?
Correct answer: B. Postpone vaccination and refer the child for clinical assessment
- A. Vaccinate immediately because fever never affects vaccination
- B. Postpone vaccination and refer the child for clinical assessment
- C. Give only the oral vaccine and postpone injections
- D. Double the vaccine dose after the fever settles
Explanation
A severe acute illness with high fever and lethargy requires assessment before routine immunisation, so vaccination is postponed until the child is stable. This differs from a minor illness such as a simple runny nose, which usually is not a reason to delay vaccination.
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About Immunisation and EPI
Immunisation covers active and passive immunity, vaccine types, routine childhood schedules under Pakistan’s Expanded Programme on Immunization, administration routes and age-based timing. It also includes cold-chain maintenance, contraindications, adverse events following immunisation, missed doses and the distinction between vaccine protection and treatment of an established infection.
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