# 一位家長說：「我的嬰兒今天有輕微流鼻水，所以疫苗應該延後。」護理師應如何回應？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397173&lang=zh-tw  
> language: zh-TW  
> subject: Health Promotion/Disease Prevention  
> category: HPM

## 題目

一位家長說：「我的嬰兒今天有輕微流鼻水，所以疫苗應該延後。」護理師應如何回應？

## 選項

1. 所有疫苗都必須延後，直到所有症狀消失。
2. 在出生第一年內絕不接種疫苗。
3. 輕微疾病而無中度或重度症狀，通常不需要延後常規疫苗接種。 **✔ 正確答案**
4. 嬰兒在輕微疾病期間應只接受一半劑量。

**正確答案: 3**

## 解析

輕微疾病而無中度或重度症狀，通常不是延後常規免疫接種的理由。疫苗在嬰兒期會按照時程常規接種。不應使用一半劑量，因為可能無法保護兒童。

## 深入解析

臨床判斷
使用個案線索、時機、檢驗數據和安全風險，選擇最適合嬰兒疫苗教育的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX考題獎勵基於線索的優先思考，而非孤立記憶。

## 臨床情境

臨床實務指引
對於嬰兒疫苗教育，將完整的線索模式與個案當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，不要僅根據一個孤立的線索選擇行動。

## 重要概念

- **免疫接種** — 施打疫苗以幫助預防疾病的過程。
- **常規疫苗時程表** — 根據年齡和風險建議的疫苗接種時機。
- **輕微疾病** — 通常不構成常規疫苗接種禁忌症的輕微症狀。

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