A child has completed the first dose of a vaccine series but arrives late for the next dose. Which principle should guide the nurse?
Correct answer: B. Continue the series without restarting previous valid doses
- A. Restart the entire series from the first dose
- B. Continue the series without restarting previous valid doses
- C. Give all missed doses together in one syringe
- D. Withhold further doses because the schedule was interrupted
Explanation
An interrupted vaccination schedule is generally continued, not restarted, because valid previous doses remain effective. The nurse should review the record, give due vaccines that can safely be administered, and arrange the next visit.
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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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