ATI Chapter 41 - Immunizations Flashcards
A nurse is caring for a group of clients who came to the clinic for a seasonal influenza vaccine. Which of the following clients can receive the vaccine via nasal spray rather than an injection?
A. A 1-year-old child with no health problems.
B. A 17-year-old client who has a hypersensitivity to penicillin.
C. A 25-year-old client who is pregnant.
D. A 52-year-old client who takes a multivitamin supplement.
B. A 17-year-old client who has a hypersensitivity to penicillin.
Which immunization should be administered to infants less than 8 months of age? Why are these young infants given this immunizations?
Rotavirus to prevent severe gastroenteritis (extreme diarrhea).
A nurse is reinforcing teaching for parents of a 12-month-old child who just received her first measles, mumps, and rubella (MMR) vaccine. For which of the following reactions should the nurse teach the parents?
A. Fainting
B. Inconsolable crying
C. Ascending paralysis of the extremities
D. Bruising on multiple areas of the body
D. Bruising on multiple areas of the body
A nurse is preparing to administer scheduled immunizations to a 2-months-old infant. Which of the following instructions should the nurse give the parent before discharge?
A. Treat discomfort with liquid ibuprofen for the first 24 hr following the vaccinations.
B. Apply warm compresses to injection site for comfort.
C. Call the provider if the injection site becomes sightly reddened.
D. Gently move the involved extremeity to decrease discomfort.
D. Gently move the involved extremeity to decrease discomfort.
A nurse is teaching a group of parents about immunizations. Which of the following vaccines should the nurse tell the parents is administered to children younger than 1 year of age and not older children or adults?
A. Pneumococcal vaccine
B. Meningococcal vaccine
C. Varicella vaccine
D. Rotavirus vaccine
D. Rotavirus vaccine
A 12-month-old child just received her first mumps, measles, and rubella (MMR) vaccine. For which of the following possible reactions to the this vaccine should the nurse teach the parents t watch? (Select all that apply).
A. Rash
B. Redness and discomfort at injection site
C. Bruising on multiple areas of the body
D. Fainting
E. Inconsolable crying
A. Rash
B. Redness and discomfort at injection site
C. Bruising on multiple areas of the body
A nurse is caring for a group of clients who are not protected against varicella. Which of these client should receive a varicella vaccine at this time?
A. A 24-year-old woman in the third trimester of pregnancy
B. A 3-year-old child with Wilms’ tumor who is receiving chemotherapy
C. A 2-month-old infant wiht no health problems.
D. A 32-year-old man with essential hypertension.
D. A 32-year-old man with essential hypertension.
