Immunizations
The nurse administers a pneumococcal vaccine to a 70-year-old client. The client asks "Will I have to get this every year like I do with the flu shot?" How should the nurse respond?
"It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."
A new father tells a nurse that his sister and her family plan to visit the new baby and that his niece and nephew have just recovered from chickenpox (varicella). Their lesions are completely healed or have scabs and are no longer draining. He asks the nurse whether it is safe for them to be near the baby. What is the best response by the nurse?
"The most contagious time is before the spots appear. It'll be safe to visit."
When caring for a client with varicella and disseminated herpes zoster, the nurse should implement which types of precautions? (Select all that apply.)
- Airborne - Contact - Standard
What clinical findings should lead a nurse to suspect that a toddler with a rash has rubella? (Select all that apply.)
- Low grade fever - Lymphadenopathy
A nurse is teaching a mother about the immunization schedule for her baby. Between which months of age should the measles vaccine be given?
12 and 15 months
While reviewing the admission assessment the nurse finds that a 2-year-old child has not received immunization for measles, mumps, and rubella (MMR). At what age should the child have received this vaccine?
12 months
If a 5½-month-old infant's immunizations are on schedule, which immunizations does the nurse expect the infant to have had already?
2 doses of dTap
An 18-month-old toddler who has received the appropriate immunizations on time is visiting the pediatric clinic for the next scheduled immunization. What vaccine should the nurse administer?
4th dTap
An infant is receiving the first diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) at 2 months of age. What instructions should the nurse give the parents?
Call the clinic if marked drowsiness occurs
- 2 months - 4 months - 6 months - 15 - 18 months - 4 - 6 years
DTAP
Consists of 5 shots
DTAP
The nurse assists with a client's yearly physical examination. After the examination is completed, the client is diagnosed with tuberculosis. Which action best reflects appropriate epidemiological follow-up?
Encouraging close family members, friends, and coworkers of the client to have a skin test
A nurse epidemiologist is responsible for wound consults at the hospital where a client has been admitted with an infected wound. The client asks, "What is the primary role of a nurse epidemiologist?" The nurse explains that the nurse epidemiologist:
Helps health care providers to control infections
12 - 23 months
HepA
Consists of 2 shots after the age of 1
HepA
- Birth - 1 - 2 months - 6 - 8 months
HepB
Consists of 3 shots
HepB
- 2 months - 4 months - 12 - 15 months
Hib
Consists of 3 - 4 shots
Hib
A parent of a 7-year-old child asks a nurse how to tell the difference between measles (rubeola) and German measles (rubella). What should the nurse tell the parent differentiates rubeola from rubella?
High fever and Koplik spots
A nurse in the pediatric clinic plans to administer a booster immunization for polio to a child. Which vaccine should the nurse administer?
IPV
Annual vaccine
Influenza
Only shot that a pregnant woman can get
Influenza
Start getting shots at 6 months old
Influenza
A nurse confirms that a 9-month-old infant's immunization schedule is up to date. Which immunization will the infant receive at 15 months of age?
MMR
- 12 - 15 months - 4 - 6 years
MMR & Varicella
Which two vaccines get shots at the same time?
MMR & Varicella
- 11 - 12 years - 16 years
Menigococcal
Consists of 2 shots
Menigococcal
The mother of a 5-year-old child recovering from varicella (chickenpox) calls the nurse in the pediatric clinic, asking how the child's itching can be relieved. What is the best response by the nurse?
Pat the lesions while applying the prescribed calamine lotion
- 2 months - 4 months - 6 months - 12 - 15 months
Pneumoccocal
Consists of 4 shots (2, 4, 6, 12)
Pneumoccocal
- 2 months - 4 months - 6 - 18 months - 4 - 6 years
Poliovirus
An 18-month-old child has received all required immunizations. What immunization should the nurse explain to a parent will be one of the vaccines required between 4 and 6 years of age?
Poliovirus
Consists of 4 shots
Poliovirus
In addition to standard precautions, what protective equipment or precautions should the nurse use when caring for a 4-year-old child admitted with pertussis?
Private room
- 2 months - 4 months
Rotavirus
Consists of 2 shots - 2 months apart
Rotavirus
A nurse in the pediatric clinic receives a call from the mother of a 12-month-old infant who has had a fever, runny nose, cough, and white spots in the mouth for 3 days. A rash started on the face and has now spread to the entire body. Which communicable infection does the nurse suspect?
Rubeola
The nurse is teaching a parent group about the reason to adhere to the immunization schedule. What complication of mumps is important for adolescents to avoid?
Sterility
11 - 12 years
TdAP & HPV
2 vaccines that consist of 1 shot
TdAP & HPV