A nurse is preparing to administer immunizations to a 4-year-old child who is up to date on current immunizations. Which of the following immunizations should the nurse plan to administer?
A.
Rotavirus.
B.
Hepatitis B (Hep B).
C.
Varicella.
D.
Haemophilus influenza (Hib)
For a 4-year-old child who is up to date on current immunizations, the following vaccines are generally administered based on typical immunization schedules:
A. Rotavirus – This vaccine is usually given to infants. By the age of 4, the child would typically have completed the series, and this vaccine is not routinely given at this age.
B. Hepatitis B (Hep B) – This vaccine is typically administered at birth, 1-2 months, and 6-18 months. A 4-year-old should have already received this vaccine series.
C. Varicella – The varicella vaccine, which protects against chickenpox, is usually given as a series of two doses, the first dose between 12-15 months and the second dose between 4-6 years of age. Therefore, a 4-year-old is due for the second dose if it has not already been administered.
D. Haemophilus influenzae type b (Hib) – The Hib vaccine is generally administered to children younger than 5 years old, typically at 2, 4, 6, and 12-15 months of age. By age 4, the child should have completed this series.
Conclusion: The appropriate vaccine to administer to a 4-year-old child who is up to date on their immunizations would be the Varicella vaccine if they are due for the second dose.
The correct answer is C. Varicella.