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NURS 621 > Immunization- Chapter 6 Goroll > Flashcards

Immunization- Chapter 6 Goroll Flashcards

1
Q

Can immunoglobulin vaccines be administered with live viral vaccines?

A

No. If a patient requires both the viral vaccines should be administered at least 2 weeks before the immunoglobulin one if possible. If the immunoglobulin one is administered must wait first 3-6 months before giving the live viral vaccine.

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2
Q

Does an allergy to penicillin contraindicate the use of a vaccine in the US?

A

No. No vaccines available in the US have penicillin in them

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3
Q

Should a live-attenuated viral vaccine be administered to a pregnant woman?

A

No.

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4
Q

Can pregnant women receive the Hepatitis B vaccine?

A

Yes pregnant women who are identified as being at risk for hepatitis b virus infection during pregnancy should be vaccinated

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5
Q

Can pregnant women receive the Human Papillomavirus (HPV) vaccine?

A

Not recommended for use in pregnancy. if a women is found to be pregnant after initiation of the vaccination series the remainder of the three dose regiment should be delayed until after completion of the pregnancy

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6
Q

Can pregnant women receive the Hepatitis A vaccine?

A

Unknown- safety has not been determine. Immunoglobulin is an alternative

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7
Q

Can pregnant women receive the influenza (inactivated) vaccine?

A

Yes! its recommended.

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8
Q

Can pregnant women receive the influenza (live attenuated) vaccine?

A

NO

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9
Q

Can pregnant women receive the Measles, mumps and rubella (MMR) vaccine?

A

NO

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10
Q

Can pregnant women receive the Quadrivalent meningococcal conjugate (MCV4) vaccine?

A

No data available on safety during pregnancy. may use if indicated

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11
Q

Can pregnant women receive the Meningococcal B vaccine?

A

Discuss risk vs benefit. unknown

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12
Q

Can pregnant women receive the tetanus-diphtheria (td) vaccine?

A

Yes, but Tdap is preferred.

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13
Q

Can pregnant women receive the Tetanus-diphtheria-acellular pertussis (Tdap) vaccine?

A

Yes. The ACIP recommends that all women receive a Tdap immunization during each pregnancy. The optimal timing is between 27-36 weeks of gestation to maximize the maternal antibody response and passive antibody transfer to infant. If not administered during pregnancy should be administered immediately postpartum.

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14
Q

Can pregnant women receive the Varicella vaccine?

A

NO

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15
Q

Can pregnant women receive the Live-attenuated zoster vaccine?

A

NO

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16
Q

Can pregnant women receive the Rabies vaccine?

A

No. Though pregnancy is not considered a contraindication to post exposure prophylaxis.

17
Q

Can pregnant women receive the typhoid (parenteral and oral) vaccine?

A

No known data. Give parenteral if needed.

18
Q

Can pregnant women receive the Yellow fever vaccine?

A

The safety of the vaccine has not been established so vaccination should be administered only if travel to an endemic area is unavoidable and if increased risk for exposure exists.

19
Q

Can severely immunocompromised patients receive vaccines of live-attenuated viruses?

A

NO!

20
Q

How often should an adult receive a Td vaccine following the completion of the primary series?

A

10 years.

21
Q

What are common reactions to the Td and Tdap vaccine?

A

Erythema, induration, tenderness at the inoculation site

22
Q

Can the MMR vaccine be administered to an individual with an active HIV infection?

A

Yes as long as the CD4 T-cell count is >200 cells/mL.

23
Q

Can the MMR be administered to someone with an allergic reaction to eggs? How about Neomycin?

A

No. And no.

24
Q

at what age can an infant receive the influenza vaccine?

A

6 months or older

25
Q

True or false: the ACIP recommends all individuals >65 yrs received PCV13 followed by PPSV23 1 year later.

A

True!

26
Q

For an elective splenectomy or immunosuppression, the pneumococcal vaccine should be administered at least ______ before.

A

2 weeks

27
Q

True or false: the Hib (Haeomophilus influenza type b) vaccine should be administered to individuals with functional asplenia or immunoglobulin deficiencies because they have a higher incidence of invasive disease caused by encapsulated organisms.

A

True!

28
Q

What is the routine immunization schedule of MCV4?

A

Young adolescents 11-12 with a booster at 16 years. Teens and young adults (16-23) may also be vaccinated with a serogroup B meningococcal vaccine.

29
Q

What is the primary immunization of meningococcal B vaccines?

A

Either 2 or three vaccinations depending on type of vaccine being used. It’s either: 0, 1-2 months, 6 months or 1 month apart.

30
Q

What is the most common genital infection in the USA?

A

Human papilloma virus (HPV)

31
Q

True or false: the HPV vaccine should be given to adults in a 3-dose series with the 2nd and 3rd dose administered 2-6 months after the first dose.

A

True.

32
Q

Can the HPV vaccine be administered in a 2 dose series for nonimmunocompromised persons initiating vaccination before 15 years?

A

Yes! It would be in a 0 and 6-12 months.

33
Q

What is the age a female can receive the HPV vaccine at?

A

9 years old

34
Q

For an adult female >26 yrs and adult male >21 years has not received any HPV vaccine, when should vaccination occur? Is it the 2 or 3 course series?

A

Both should receive the 3 course series at 0, 1-2, and 6 months.

35
Q

True or false: the ACIP recommends routine immunization of children with two doses of Hepatitis A vaccine beginning at 3 years of age.

A

False! This is recommended at 1 year of age.

36
Q

Which populations are considered high risk groups for Hepatitis A?

A

men who have sex with men, users of illegal drugs, those regularly receiving clotting factor transfusions, persons with chronic liver disease, Food handlers and day care workers.

NURS 621 (5 decks)

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