Which of the following immunizations should not be given to a 4-month-old sibling of a client with leukemia?
A. Oral poliovirus vaccine (OPV)
B. Hepatitis B vaccine
C. Diphtheria and tetanus and pertussis (DPT) vaccine
D. Haemophilus influenzae type b vaccines (Hib)
Correct Answer: A. Oral poliovirus vaccine (OPV)
Option A: OPV is a live attenuated virus excreted in the stool. The excreted virus can be communicated to the immunosuppressed child, resulting in an overwhelming infection. Inactivated polio vaccine would be indicated because it isn’t a live virus and wouldn’t pose the threat of infection.
Options B, C, and D: DTP, Hib, and hepatitis B vaccines can be given accordingly to the recommended schedule.
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