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

Question 1

Chickenpox vaccine is what

Answer 1

varicella

Question 2

4 live vaccines given to children

Answer 2

Influenza vaccine LAIV4
MMR
Rotavirus
Varicella

Question 3

Diphtheria vaccine name

Answer 3

DTap

Question 4

Hepatitis A & Hepatitis B

Answer 4

Hep A immune globulin, Hep B immune globulin

Question 5

Haemophilus influenzae type b

Answer 5

Hib

Question 6

Human Papillomavirus

Answer 6

HPV

Question 7

measles

Answer 7

MMR, MMRV

Question 8

Meningococcal

Answer 8

MenACWY-CRM, MenACWY-D, MenACWY-TT

Question 9

Mumps

Answer 9

MMR; MMRV

Question 10

Pneumococcal

Answer 10

Pneumococcal conjugate PCV (PCV13, PCV15, PCV20)

Pneumococcal polysaccharide PPSV (PPSV23)

Question 11

Poliomyelitis

Answer 11

inactivated polio vaccine (IPV)

Question 12

Rotavirus

Answer 12

RV5, RV1

Question 13

Rubella

Answer 13

MMR; MMRV

Question 14

Shingles

Answer 14

RVZ

Question 15

Tetanus

Answer 15

Dtap, Tdap, DT

Question 16

Whooping Cough (pertussis)

Answer 16

Dtap, Tdap

Question 17

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

Answer 17

Hib

Question 18

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

Answer 18

Gardasil is more effective if given before sexual activity begins

Question 19

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

Answer 19

Recommend acetaminophen and a cold compress

Question 20

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

Answer 20

Men B/MenACWY (meningococcal vaccine)

Question 21

chicken pox

Answer 21

• 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

Question 22

Roseola

Answer 22

• 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

Question 23

rubella

Answer 23

• 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

Question 24

measles

Answer 24

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

Question 25

fifth disease

Answer 25

- 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

Question 26

scarlet fever

Answer 26

- 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

Question 27

mumps

Answer 27

- parotitis - swelling, joint pain, high temp, headache - tx cool cloth, antipyretic - return 5 days post swelling onset - gown, gloves

Question 28

hand, foot, mouth disease

Answer 28

- 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

Question 29

whooping cough

Answer 29

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

Question 30

mononucleosis

Answer 30

- 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

Question 31

diphtheria

Answer 31

- corynebacterium diphtheria BACTERIA - white/gray tonsils, bull's neck rash, low fever - tx = equine antitoxin, penicillin - myocarditis complication - contact precautions

Question 32

scarlet fever

Answer 32

- 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

Question 33

influenza

Answer 33

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

Question 34

pneumococcal disease (pneumonia)

Answer 34

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

Question 35

giardiasis

Answer 35

- protozoan diardia intestinalis - malodorous, watery, pale, greasy stools - tx metronidazole - giardia resistent to chlorine - lysol kills it

Question 36

pinworms

Answer 36

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

Question 37

bed bugs

Answer 37

- Cimex lectularius - can cause infection, cellulitis, urticaria - bites on legs/arms/trunk - tx topical steroids, antihistamines, exterminators

Question 38

5 situations for contraindication to vaccination

Answer 38

- 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)