Question 1

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 the child?

Accepted Answer

While the live,oral vaccine may be given to patients older than 6 years,each capsule must be taken 48 hours apart with the last capsule given 1 week prior to travel.There would not be enough time to complete the regimen since the patients leave in 10 days.Children under age 6 cannot receive the oral vaccine.

Question 2

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

Accepted Answer

The influenza vaccine is recommended for pregnant women and should be given.Gardasil is given to young women who are not yet sexually active.The MMR is contraindicated because rubella can cause serious teratogenic effects.Varicella is contraindicated during pregnancy.

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 diphtheria,tetanus,acellular pertussis (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?

Accepted Answer

Even though pertussis is not as serious in older children,it is important to vaccinate children to prevent the spread of the disease to infants and others who are not immunized and who are at risk for significant morbidity and mortality from this disease.Vaccinating the mother will not protect the 4-year-old from getting pertussis.The DTaP vaccine may be given to children whose mothers are pregnant.Vaccinating the child does not confer passive immunity to the unborn child.

Question 4

The nurse is preparing to administer rotavirus vaccine to a 4-month-old infant.The nurse notes that the infant received RV1 vaccine at 2 months of age.The nurse will plan to administer

Accepted Answer

Patients receiving RV1 receive 2 doses at age 2 and 4 months only.

Question 5

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

Accepted Answer

If the MMR or other live virus vaccine is not given the same day as the varicella vaccine,administration of the two vaccines should be separated by at least 4 weeks.In the incorrect answers,the two live virus vaccines are given only 1 week apart.

Question 6

The parent of a 12-month-old child who has received the MMR,varicella,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?

Accepted Answer

These are common,minor side effects of vaccines and can be treated with acetaminophen and cold compresses.Aspirin is contraindicated in children because of its association with Reye's syndrome.Since these are not serious adverse effects,they do not need to be reported to VAERS.It is not necessary to schedule a clinic visit.

Question 7

A provider has ordered recombinant HPV quadrivalent vaccine (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

Accepted Answer

Gardasil is most effective when the client is not yet sexually active.

Question 8

Which is an example of acquired passive immunity?

Accepted Answer

Passive immunity occurs without stimulation of an immune response.Acquired immunity requires administration of immune globulin.Inherent resistance to a disease antigen describes the state of natural immunity,not acquired passive immunity.The other answers involve stimulation of an immune response.

Question 9

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); measles-mumps-rubella (MMR); inactivated polio (IPV); and diphtheria,tetanus,and acellular pertussis (DTaP)vaccines to be given.Which action by the nurse is correct?

Accepted Answer

Antibiotic therapy is not generally a contraindication to the use of vaccines.Vaccines may be given in cases of mild acute illness or during the convalescent phase of an illness.All four vaccines may be given.If the MMR or other live virus vaccine is not given the same day as the varicella vaccine,administration of the two vaccines should be separated by at least 4 weeks.Aspirin should not be given because of the increased risk of Reye syndrome.

Question 10

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?

Accepted Answer

Persons who work with children should receive acellular pertussis vaccine.The Tdap is given to adults.The DTaP is given to children up to age 6.The DT and Td do not contain pertussis.

Question 11

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

Accepted Answer

Zostavax is given to boost the immunity to varicella-zoster virus among recipients.It is not likely to cause severe reaction secondary to prior exposure,since the immune response in most recipients has declined.Zostavax,not Varivax,is approved for this use.

Quiz 31: Vaccines

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 the child?

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

The nurse is preparing to administer rotavirus vaccine to a 4-month-old infant.The nurse notes that the infant received RV1 vaccine at 2 months of age.The nurse will plan to administer

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

The parent of a 12-month-old child who has received the MMR,varicella,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 provider has ordered recombinant HPV quadrivalent vaccine (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

Which is an example of acquired passive immunity?

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?

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