Ch 22

Question 1

communicable disease

Answer 1

illness passed via direct, indirect, or vector transmission

Question 2

infant and child disease vulnerability-4

Answer 2

1. immune systems not fully developed at birth
2. passively acquired maternal antibodies provide limited protection
3. disease protection through immunization is incomplete
4. poor hygiene

Question 3

airborn precautions-3

Answer 3

measles, chicken pox, tuberculosis

Question 4

droplet precautions-4

Answer 4

Hib, pneumonia, rubella, pertussis

Question 5

contact precautions-3

Answer 5

hep A, e. coli, gonorrhea

Question 6

killed virus vaccine

Answer 6

a vaccine that contains a microorganism that has been killed but is still capable of inducing body to produce antibodies

Question 7

toxoid

Answer 7

a toxin that has been treated to weaken its toxic effects but retain its antigenicity

Question 8

live virus vaccine

Answer 8

live but attenuated or weakened form

Question 9

recombinant vaccine

Answer 9

organism genetically altered

Question 10

local reactions from vaccine

Answer 10

erythema, swelling, pain, and induration at site of injection

Question 11

systemic reaction to vaccine

Answer 11

fever, fussiness/irritability, malaise, anorexia, rash

Question 12

DTap, Tdap-6

Answer 12

1. inactivated
2. may coincide or hasten seizure disorder
3. increase reaction chance w 4 and 5 doses
4. shake
5. 2,4,6,15-18mo, 4-6yrs, 11-12yrs (5 dose)
6. DTap under 7yr

Question 13

Hib-2

Answer 13

1. inactivated

2. 2,4,6,12-15mo (4 dose)

Question 14

Hep A-3

Answer 14

1. inactivated
2. shake
3. 12-23mo, or 2-18 yrs w second dose 6-12 mo after first

Question 15

Hep B-3

Answer 15

1. inactivated
2. shake
3. birth, 1-2 mo, 6-18mo (3 dose)

Question 16

MMR-3

Answer 16

1. live attenuated
2. subcut
3. 12-15 mo, 4-6yrs (2 dose)

Question 17

rotavirus-4

Answer 17

1. live
2. oral
3. 2, 4, 6mo (3 dose)
4. don’t start if older than 15wks, finish all 3 before 32 mo

Question 18

varicella virus-4

Answer 18

1. live attenuated
2. subcut
3. give to unimmune child exposed w/n 3 days to build immunity
4. 12-15 mo and 4-6 yrs (2 dose)
   13 yrs+ 2 dose 4-8 wks apart if not vaccinated

Question 19

vaccine schedule 1. birth 2. 2 mo-2, 6

Answer 19

1. Hep b

2. Hep b, rotavirus (RV), DTap, Hib, pneumocococcal (PCV), inactivated poliovirus (IPV)

Question 20

4 mo vaccines-5

Answer 20

RV, DTap, Hib, PCV, IPV

Question 21

6 mo vaccines-7

Answer 21

Hep B, RV, Dtap, Hib, PCV, IPV, influenza

Question 22

12 mo vaccines-8

Answer 22

Hep B, Hib, PCV, IPV, influenza, MMR, varicella, Hep A

Question 23

4-6 yr vaccine-4

Answer 23

DTap, IPV, MMR, varicella

Question 24

questions before administration-8

Answer 24

1. allergies
2. previous reactions
3. health history
4. asthema/seizure/immunocompromised
5. steroids
6. blood products
7. pregnant
8. recent vaccinations w/n 4 wks

Question 25

vaccine documentation-7

Answer 25

1. date 2. vaccine given 3. manufacturer 4. lot number and expiration date 5. site and route of administration 6. name title of administer 7. consent/ informed refusal