Deck 36: Vaccines

Question 1

A young adult patient is in the clinic to receive a tetanus vaccine after sustaining a laceration injury.The nurse learns that the patient,who works in a day care center,has not had any vaccines for more than 10 years.Which vaccine will the nurse expect to administer?

A)DT
B)DTaP
C)Td
D)Tdap

Answer 1

Tdap

Question 2

A 48-month-old child is scheduled to receive the following vaccines: MMR,Varivax,IPV,and DTaP.The child's parents want the child to receive two vaccines today and the other two in 1 week.To accommodate the parents' wishes,the nurse will administer

A)the DTaP and Varivax today and the MMR and IPV in 1 week.
B)the IPV and MMR today and the Varivax and DTaP in 1 week.
C)the MMR and DTaP today and the Varivax and IPV in 1 week.
D)the MMR and Varivax today and the DTaP and IPV in 1 week.

Answer 2

the MMR and Varivax today and the DTaP and IPV in 1 week.

Question 3

The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTaP vaccine.The mother,who is pregnant,tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is "not that serious" in older children.What information will the nurse include when discussing this with the mother?

A)If she gets the vaccine,both she and her 4 year-old child will be protected.
B)If the 4-year-old child contracts pertussis,it can be passed on to her newborn.
C)The vaccine will not be given to her child while she is pregnant.
D)Vaccinating the 4-year-old will provide passive immunity for her unborn child.

Answer 3

If the 4-year-old child contracts pertussis,it can be passed on to her newborn.

Question 4

The provider orders Zostavax for a 60-year-old patient.The patient reports having had chicken pox as a child.Which action will the nurse take?

A)Administer the vaccine as ordered.
B)Counsel the patient that the vaccine may cause a severe reaction because of previous exposure.
C)Hold the vaccine and notify the provider of the patient's history.
D)Request an order for a Varivax booster instead of the Zostavax.

Question 5

Which is an example of acquired passive immunity?

A)Administration of IgG to an unimmunized person exposed to a disease
B)Administration of an antigen via an immunization
C)Inherent resistance to a disease antigen
D)Immune response to an attenuated virus

Question 6

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.The nurse will tell the parent that Gardasil

A)is less effective in older adolescents.
B)is more effective if given before sexual activity begins.
C)is more effective if given prior to the hormonal changes of puberty.
D)is not effective if given after the onset of menses.

Question 7

The parent of a 12-month-old child who has received the MMR,Varivax,and hepatitis A vaccines calls the clinic to report redness and swelling at the vaccine injection sites and a temperature of 100.3° F.The nurse will perform which action?

A)Recommend aspirin or an NSAID for pain and fever.
B)Recommend acetaminophen and cold compresses.
C)Report these adverse effects to the Vaccine Adverse Event Reporting System (VAERS).
D)Schedule an appointment in clinic so the provider can evaluate the child.

Question 8

A 4-year-old child is receiving amoxicillin (Amoxil)to treat otitis media and is in the clinic for a well-child checkup on the last day of antibiotic therapy.The provider orders varicella (Varivax); mumps,measles,and rubella (MMR); inactivated polio (IPV); and diphtheria,tetanus,and acellular pertussis (DTaP)vaccines to be given.Which action by the nurse is correct?

A)Administer the vaccines as ordered.
B)Discuss giving the MMR vaccine in 4 weeks.
C)Hold all vaccines until 2 weeks after antibiotic therapy.
D)Recommend aspirin for fever and discomfort.

Question 9

A woman who is pregnant tells the nurse she has not had any vaccines but wants to begin so she can protect her unborn child.Which vaccine(s)may be administered to this patient?

A)Gardasil vaccine
B)Trivalent influenza vaccine
C)MMR vaccine
D)Varivax vaccine

Question 10

The nurse is preparing to administer rotavirus vaccine to a 4-month-old infant.The nurse notes that the infant received Rotarix vaccine at 2 months of age.The nurse will plan to administer

A)Rotarix today.
B)Rotarix today and again at age 6 months.
C)Rota Teq today.
D)Rota Teq today and again at age 6 months.

Question 11

A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines.Which vaccines will be given to the parent and child?

A)Four capsules of live,oral vaccine to both patients
B)Four capsules of live,oral vaccine for the parent and the IM polysaccharide vaccine for the child
C)Four capsules of live,oral vaccine for the child and the IM polysaccharide vaccine for the parent
D)IM polysaccharide for both patients