Vaccination questions FITZGERALD Flashcards
- When advising a patient about injectable influenza immunization, the nurse practitioner (NP) considers the following about the use of this vaccine:
A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited because it contains live virus.
D. Its use is recommended for virtually all members of the population.
D
- A middle-aged man with chronic obstructive pulmonary disease who is about to receive injectable influenza vaccine should be advised that:
A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the immunization are fairly common.
D. a short, intense, flu-like syndrome typically occurs after immunization.
C
- A 44-year-old woman with asthma presents asking for a “flu shot.” She is seen today for an urgent care visit, is diagnosed with a lower urinary tract infection, and is prescribed trimethoprim-sulfamethoxazole. She is without fever or gastrointestinal upset with stable respiratory status. You inform her that she:
A. should return for the immunization after completing her antibiotic therapy.
B. would likely develop a significant reaction if immunized today.
C. can receive the immunization today.
D. is not a candidate for any form of influenza vaccine. on.
C
- Which of the following statements best describes amantadine or rimantadine use in the care of patients with or at risk for influenza?
A. Significant resistance to select strains of influenza limits the usefulness of these medications.
B. The primary action of these therapies is in preventing influenza A during outbreaks.
C. These therapies are active against influenza A and B.
D. The use of these products is an acceptable alternative to influenza vaccine.
A
- Which of the following statements best describes zanamivir (Relenza®) or oseltamivir (Tamiflu®) use in the care of patients with or at risk for influenza?
A. Initiation of therapy early in acute influenza illness can help minimize the severity of disease when the illness is caused by a nonresistant viral strain.
B. The primary indication is in preventing influenza A during outbreaks.
C. The drugs are active only against influenza B.
D. The use of these medications is an acceptable alternative to influenza vaccine?
A
- When advising a patient about the influenza nasal spray vaccine, the NP considers the following:
A. Its use is acceptable during pregnancy.
B. Its use is limited to children younger than 6 years.
C. It contains live, attenuated virus.
D. This is the preferred method of influenza protection in the presence of airway disease
C
- Approximately _____________ of healthcare providers receive influenza immunization annually
. A. one-quarter
B. one-half
C. two-thirds
D. three-quarters or more
D
- The most common mode of influenza virus transmission is via:
A. contact with a contaminated surface.
B. respiratory droplet.
C. saliva contact.
D. skin-to-skin contact.
B
- In an immunocompetent adult, the length of incubation for the influenza virus is on average:
A. less than 24 hours.
B. 1 to 4 days.
C. 4 to 7 days.
D. more than 1 week.
B
- Influenza protection options for a 62-year-old man with hypertension, dyslipidemia, and type 2 diabetes mellitus include receiving:
A. live attenuated influenza vaccine via nasal spray.
B. high-dose trivalent inactivated vaccine (TIV) via intramuscular injection.
C. TIV in standard dose via intramuscular injection.
D. appropriate antiviral medication at the initial onset of influenza-like illness.
C
- Which of the following should not receive vaccination against influenza?
A. a 19-year-old with a history of hive-form reaction to eating eggs
B. a 24-year-old woman who is 8 weeks pregnant
C. a 4-month-old infant who was born at 32 weeks of gestation
D. a 28-year-old woman who is breastfeeding a 2-week-old infant
C
- A healthy 6-year-old girl presents for care. Her parents request that she receive vaccination for influenza and report that she has not received this vaccine in the past. How many doses of influenza vaccine should she receive this flu season?
A. 1
B. 2
C. 3
D. 4
B
22 to 25. Match the most appropriate influenza vaccination preparation for each of the following individuals.
- A healthy 67-yearold man
- A 12-year-old boy with asthma
- A 42-year-old woman with severe egg allergy
- A healthy 12-monthold infant
- IIV3 High dose
- IIV4 (intradermal)
- Recombinent influenza
- IIV4 ( Intradermal).
