Module 15 - Immunizations

Question 1

S+S, incubation period, length contagious, nursing interventions of Chicken Pox (Varicella)

Answer 1

-Prodromal: mild fever, macules, papules, vesicles, pustules, scabs
- Incubation: 2-3 weeks
- contagious: 6 days after rash. Isolate until all lesions are dry
- Trim fingernails to prevent scratching
Calamine lotion may reduce itching
Airborne isolation precautions

Question 2

S+S, incubation period, length contagious, nursing interventions of Rubella (German Measles)

Answer 2

• Mild fever, cough, cold, enlarged glands, rose colored rash
• 2-3 weeks
• until rash fades (5days)
• Symptomatic tx &comfort measures
  Avoid exposing woman in early mths of preg – can cause fetal anomalies
  Droplet precautions

Question 3

S+S, incubation period, length contagious, nursing interventions of Rubeola (Measles)

Answer 3

• Fever, cough, conjunctivitis Koplik spots, maculopapular rash
• 1-2 weeks incub.
• 4 days before to 5 days after rash appears
• Symptomatic care; Provide quiet activities
  Airborne isolation
  Measures to reduce eyestrain; detailed oral care; Avoid use of soap

Question 4

S+S, incubation period, length contagious, nursing interventions of Roseola

Answer 4

• Persistent high fever that disappears when rash appears
• 2 weeks incubation
• until rash fades
• Rest & quiet
  Teach parent temp-reducing techniques & prevention of seizures
  Use standard precautions

Question 5

S+S, incubation period, length contagious, nursing interventions of Mumps (parotitis)

Answer 5

• Fever, headache, swollen parotid gland, jaw pain
• 14-21 days incub.
• until swelling subsides
• Encourage fluids, apply ice compresses to neck for comfort; Droplet precautions(if hospitalized; Avoid citrus & spices that stimulate salivary flow

Question 6

S+S, incubation period, length contagious, nursing interventions of Infectious Mononucleosis

Answer 6

• Low grade fever, malaise, jaundice, enlarged spleen
• 2-6 weeks
• May return to school when fever and swallowing are normal (may be contagious for 3+ months)
• Rest & supportive tx
  Standard precautions
  School tutoring
  Contact sports avoided until liver & spleen lab tests normal