health promotion Flashcards
what type of prevention?
primary, secondary, or tertiary
Immunizations, counseling, injury, and disease prevention
Primary
what type of prevention?
primary, secondary, or tertiary
screening test like BP checks, mammogram, colonoscopy
secondary
what type of prevention?
primary, secondary, or tertiary
adjusting therapies in established disease ie: insulin for better glycemic control
tertiary
A resistance that is developed in response to a vaccine?
Characterized by the presence of antibodies.
Active immunity
Immunity obtained by receiving an antibody produced in another host. ie: IG
Passive immunity
28-year-old male presents with a two-hour history of superficial laceration approximately 5 centimeters in length that happened while replacing a windowpane. A physical exam is consistent with history. His record notes a T DAP vaccine given approximately 2 years ago and documentation of a primary tetanus series. When considering his immunity immunization needs tonight what should the NP appreciate he should receive?
a. A TD booster
b. A tdap booster
c. A dose of TIG (tetanus immunoglobulin)
d. No tetanus vaccine
d. No tetanus vaccine. He is up to date and the wound is superficial, therefore low risk.
Urticaria, angioedema (mostly of the head and neck), and respiratory compromise, represent the most common symptoms of?
Anaphylaxis
True or false
There is no contraindication to epinephrine use in the scenario of anaphylactic shock
True
True or false
previously vaccinated adults with DM (1 or 2) should be vaccinated against hepatitis B as soon as possible after diagnosis
True
True or False
For routine tetanus immunization update in adults Tdap or Td can be used
True
67 year old male nonsmoker, well controlled hypertension and dyslipidemia received one dose of PCV 13 “prevnar 13” one year ago. He states he heard there is another pneumonia shot you advised that :
a. he is adequately immunized against pneumococcal disease
b. there is another pneumococcal vaccine available but its use is not advised in older adults due to its adverse effect profile
c. he is eligible for a dose of the PPS V 23 (pneumovac) today to provide additional protection against pneumococcal disease.
d. In four more years he should receive a second dose of PCV 13
C. He is eligible for a dose of the PPS V 23 (pneumovac) today to provide additional protection against pneumococcal disease.
The PPS V 23 less protection with broader coverage (covers 23 strains)
List the live attenuated virus vaccines
MMR
Varicella
Zostavax
intranasal influaenza
avoid in pregnancy
or severely immunocompromised
Which of the following patience should receive the zoster vaccine recombinant shingrix.
a. A 50 year old woman who will start treatment with Humira for rheumatoid arthritis in two weeks
b. a 65 year old man who received one dose of zoster vaccine live zosta vax five years ago
c. a 55 year old man who has had shingles three months ago and all signs and symptoms have resolved
all of them
