Kay is the nurse supervisor of a small clinic located on the campus of a Midwest

Question

Kay is the nurse supervisor of a small clinic located on the campus of a Midwestern college. In a single week, she treated fifteen students (ages 19-24) with similar symptoms. They each appeared at the student clinic in various stages of the development of a red macular rash. It seemed to start on the face and spread to the trunk and extremities. Each complained of having had a severe cold, including sore throat, headache, and cough, for a few days previously.

After observing tiny red patches with white centers on the oral mucosa, next to the molars, Kay made her diagnosis. She warned each student that their infection was extremely contagious and placed them in isolation. She also warned them of the need for strict bed rest because of the dangerous complications of this infection. Chemotherapy was limited to acetaminophen for comfort. Kay checked each student’s immunization record and found it complete and up-to-date.

QUESTION 1

What are the possible complications those students infected with this virus would suffer?

Two of these

middle ear infections

encephalitis

Any of the above

pneumonia

QUESTION 2

Which of the follow is the correct immunization and schedule to prevent this infection in children, youth, and young adults?

DTaP at 15 - 18 months and 4 -6 years

MMR at 12-15 months and 4-6 years

MMR at 12 months and 12 years

MCV at 2 years

Two of these

middle ear infections

encephalitis

Any of the above

pneumonia

Explanation / Answer

Question 1: Any of these

The students are suffering from measles. Complications of measles include middle ear infection, pneumonia and encephalits

Question 2: MMR ar 12-15 onths and 4-6 years

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