Week 5 - Cooties

A parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant?

DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)

The vaccine pneumococcal conjugate vaccine (PCV13) is recommended for preventing and decreasing the severity of pneumococcal infections caused by Streptococcus pneumoniae. These invasive infections include:

. Otitis media Pneumonia and meningitis Sepsis

Miminum age for MMR?

12 months

You're providing a free educational clinic to new moms about immunizations. You inform the attendees that the Measles, Mumps, and Rubella (MMR) vaccine is given?

12 months, 4-6 years

The nurse administers an initial dose of Haemophilus influenzae type b (Hib) vaccine to a 2-month-old infant. When should the nurse administer the final dose of the vaccine to the infant?

12-15 months

A mother calls the pediatric clinic to ask when her daughter will receive the Varicella vaccine. Your answer to her question is:

12-18 months, 4-6 years

Inactivated Polio Virus (IPV) is administered every:

2 months, 4 months, 6-18 months, 4-6 years

The dosage for the DTaP vaccine is 0.5 ml given I.M. at ages ________ months, _______ months, ________ months 12 to 18 months, and 4 to 6 years.

2,4,6

Which childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneumonia?

HIB

This vaccination is the first vaccine, given I.M. at birth (or before hospital discharge).

Hep B #1

A child is scheduled to receive immunizations. The child's mother reports to the nurse that the child has been receiving long-term immunosuppressive therapy. The nurse prepares the scheduled immunizations knowing that which vaccine is contraindicated?

MMR

The nursing student is assigned to administer immunizations to children in a clinic. The student should question whether to administer immunizations to a child with which condition?

A severe febrile illness

MMR Hepatitis B Rotavirus Influenza, live, attenuated A. Subcutaneous injection B. Intranasally C. Oral D. Intramuscular

A. MMR Subcutaneous injection B. Flu Intranasally C. RV Oral D. Hep B Intramuscular

An infant is brought to the clinic for his third diphtheria-tetanus toxoid-acellular pertussis vaccination (DTaP). The mother reports that the infant developed a 99.4°F (37.4°C) temperature after the last DTaP. Which action is most appropriate?

Administer the vaccine

A child with rubeola (measles) is being admitted to the hospital. In preparing for the admission of the child, the nurse should plan to place the child on which precautions?

Airborne

A 4-month-old infant is to receive the second diphtheria/tetanus/pertussis (DTaP) immunization. The nurse reviews the infant's medical history before administering the vaccine. What information in the infant's history will influence the decision whether to administer the vaccine?

Anaphylactic reaction after the first dose

A 12 month old receives a series of vaccinations which includes the Hepatitis A vaccine. When should the child receive the 2nd dose of this vaccine?

At the 18 month visit (second Hep A vaccine needs to be given 6 months after the 1st)

Which bite causes Rocky Mountain spotted fever?

Tick

At what age does a child starting receiving a yearly flu vaccine?

6 months

When should a child receive the first dose of the Hepatitis B vaccine?

Birth

The nurse is caring for a client with a respiratory tract infection that started with a common cold but has progressed to whooping cough. The client also has coughing fits that last for several minutes. Which organism is responsible for the client's condition?

Bordetella pertussis

Common side effects from the rotavirus vaccine include irritability, mild diarrhea, or vomiting. A small but increased risk for developing __________ has been noted after receiving the first dose of rotavirus vaccine.

Intussusception

The nurse is teaching a group of parents about the side effects of vaccines. Which side effect should the nurse include in teaching about the Haemophilus influenzae (Hib) vaccine?

Low-grade fever

The parent of a newborn asks a nurse why, except for hepatitis B vaccine, the immunization schedule does not start until the infant is 2 months old. Which response from the nurse is best?

Passive immunity from the mother will be diminished by age 8 weeks (2 months) and will no longer interfere with the development of active immunity to most communicable diseases."

Which vaccine is administered orally in children?

RotaTeq/Rotarix

The clinic nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. The nurse should administer this vaccine by which method?

Subcutaneously in the outer aspect of the upper arm

An 18-month-old toddler who stepped on a rusty nail is brought to the emergency department a week later. The nurse determines that the family lives in a rural area and that the toddler has never received health care. The child shows signs of neck and jaw stiffness and facial muscle spasms. What disease does the nurse suspect?

Tetany

Which immunization protocol should be followed by a nurse administering a hepatitis B vaccine to an infant whose mother is diagnosed HBsAg-positive during pregnancy?

Vaccine must be given within 12 hours of birth, along with hepatitis B immune globulin (also within 12 hours birth) administered at two different sites