Immunizations: Names/Diseases, Common SE (reactions), Contraindications Flashcards

1
Q

Chickenpox vaccine is what

A

varicella

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2
Q

4 live vaccines given to children

A

Influenza vaccine LAIV4
MMR
Rotavirus
Varicella

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3
Q

Diphtheria vaccine name

A

DTap

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4
Q

Hepatitis A & Hepatitis B

A

Hep A immune globulin, Hep B immune globulin

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5
Q

Haemophilus influenzae type b

A

Hib

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6
Q

Human Papillomavirus

A

HPV

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7
Q

measles

A

MMR, MMRV

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8
Q

Meningococcal

A

MenACWY-CRM, MenACWY-D, MenACWY-TT

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9
Q

Mumps

A

MMR; MMRV

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10
Q

Pneumococcal

A

Pneumococcal conjugate PCV (PCV13, PCV15, PCV20)

Pneumococcal polysaccharide PPSV (PPSV23)

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11
Q

Poliomyelitis

A

inactivated polio vaccine (IPV)

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12
Q

Rotavirus

A

RV5, RV1

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13
Q

Rubella

A

MMR; MMRV

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14
Q

Shingles

A

RVZ

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15
Q

Tetanus

A

Dtap, Tdap, DT

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16
Q

Whooping Cough (pertussis)

A

Dtap, Tdap

17
Q

As part of patient education, a nurse is teaching a group of mothers of infants about the benefits of immunizations. The nurse will explain that the life-threatening disease, epiglottitis, can be prevented by immunization against: haemophilus influenza type B

MMR
Hib
Hep B
Polio

A

Hib

18
Q

A provider has ordered Gardasil to be given to a prepubertal 9-year-old female. The parent asks the nurse if this vaccine can be postponed until the child is in high school. Which of the following would the nurse likely respond with?

  • Gardasil is more effective if given before sexual activity begins
  • Gardasil is less effective in older adolescents
  • Gardasil is more effective if given prior to the hormonal changes of puberty
  • Gardasil is not effective if given after the onset of menses
A

Gardasil is more effective if given before sexual activity begins

19
Q

The parent of a 12-month-old child who recently received the MMR, Varivax, and Hepatitis A vaccines calls the clinic to report redness and swelling at the injection sites as well as a temperature of 100.3F. Which of the following actions would the nurse perform?

  • Recommend aspirin or an NSAID for pain and fever
  • Recommend acetaminophen and a cold compress
  • Report the adverse effects to the Vaccine Adverse Event Reporting System (VAERS)
  • Schedule an appointment in the clinic so that the provider can evaluate the child
A

Recommend acetaminophen and a cold compress

20
Q

Colleges often require incoming freshmen who will be living on campus to receive which vaccination?

A

Men B/MenACWY (meningococcal vaccine)

21
Q

chicken pox

A
  • varicella virus
  • rash starts on body then face, fever
  • Wash cloth- Cool cloth/soaks, Oatmeal/baking soda bath Antipyretic, Anti-itch cream, Antihistamine
  • teaching Cannot return to school until all lesions are crusted over and dry usually 5-7 days.
  • respirator, gown, gloves
22
Q

Roseola

A
  • human herpes/6th disease virus
  • 3 day HIGH fever, rosy rash neck/chest/body
  • tx antipyretic, water
  • can return to school after fever free 24 hr
  • pad bed rails–> seizures
  • gown, gloves
23
Q

rubella

A
  • german measles (rubeola) virus
  • rash fro face to body, lethargy, low fever, muscle/joint pain
  • return to school 7 days post rash disappear
  • gown, gloves
24
Q

measles

A
  • rubeola virus
  • koplik spots, cough, runny nose, conjunctivitis (not itchy)
  • no school etc until 4 days post rash disappear
  • gown, gloves, respirator
25
Q

fifth disease

A
  • Erythema infectiosum AKA Slapped Cheek Syndrome virus
  • fever, runny nose, headache, lacy rash, slapped red cheeks
  • tx cool cloth, antipyretics
  • return when comfy to school
  • joint/muscle pain post
  • gown, gloves
26
Q

scarlet fever

A
  • scarlatina BACTERIAL
  • sore throat, fever, sandpaper rash in groin/armpits, neck, torso
  • tx cool cloth, oatmeal/baking soda bath, antipyretics, antihistamine/cream
  • return after 24-48 hr antibiotics
  • strep test
  • gown gloves mask
27
Q

mumps

A
  • parotitis
  • swelling, joint pain, high temp, headache
  • tx cool cloth, antipyretic
  • return 5 days post swelling onset
  • gown, gloves
28
Q

hand, foot, mouth disease

A
  • coxsackie virus
  • fever, palms, hands, soles of feet sores/blisters
  • tx cool cloth, oatmeal/baking soda soaks, antipyretic
  • return after fever gone & blisters dry
  • gown, gloves
29
Q

whooping cough

A
  • bordella pertussis BACTERIAL
  • runny nose, low fever, cough
  • cool cloth, antipyretics
  • return 24-48 hr after antibiotics
  • monitor for respiratory function
  • gown, gloves, mask
30
Q

mononucleosis

A
  • epstein-barr virus (EBV)
  • fever, sore throat, lethargy, swollen lymph glands
  • tx time, cool cloth, antipyretic
  • return after fever gone, weeks to regain strength
  • joint pain after
  • gown, gloves
31
Q

diphtheria

A
  • corynebacterium diphtheria BACTERIA
  • white/gray tonsils, bull’s neck rash, low fever
  • tx = equine antitoxin, penicillin
  • myocarditis complication
  • contact precautions
32
Q

scarlet fever

A
  • strep throat–Group A beta hemolytic streptococci BACTERIA
  • bright red rash body, stomach hurts in kids, throats in older
  • tx = penicillin, antipyretics, analgesics
  • droplet, contact, secretions
33
Q

influenza

A
  • orthomyxovirus A, B,C
  • respiratory mild, mod, severe, cough, chills, fever
  • tx time, fluids, acetamin, ibu, tamaflu
  • gown, gloves, droplet
34
Q

pneumococcal disease (pneumonia)

A
  • S. pneumonia BACTERIA
  • high fever, resp probs, rhonchi/crackles infiltrates, abd pain in children
  • tx amoxicillin for less than 5yr, erthromycin for older
35
Q

giardiasis

A
  • protozoan diardia intestinalis
  • malodorous, watery, pale, greasy stools
  • tx metronidazole
  • giardia resistent to chlorine
  • lysol kills it
36
Q

pinworms

A
  • Enterobius vermicularis, nematode/roundworm
  • fecal-oral route
  • dx tape test
  • tx antiminth
  • treat ALL household, repeat 2 weeks later for eggs
37
Q

bed bugs

A
  • Cimex lectularius
  • can cause infection, cellulitis, urticaria
  • bites on legs/arms/trunk
  • tx topical steroids, antihistamines, exterminators
38
Q

5 situations for contraindication to vaccination

A
  • allergy to any part of the vaccination
  • severe immunosuppression (live attenuated virus vaccines contraindicated)
  • intussusception (rotavirus contraindicated)
  • encephalopathy (pertussis vaccine contraindicated)
  • pregnancy (live attenuated virus vaccines contraindicated)