Immunization Programs NR442 questions and answers + rationales for student success

The nurse is preparing to administer a vaccine to a client. For which allergy should the nurse check before injecting the vaccine?

Egg

A nurse is preparing to administer a vaccine to a client. What is the priority nursing assessment to monitor for when administering vaccinations?

Anaphylaxis

Which example best represents effective primary prevention?

Immunization according to the recommended schedule

A caregiver brings their 4-month-old infant to a well-baby clinic for immunizations. The infant is up-to-date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant?

Diphtheria, Tetanus, acellular Pertussis (DTaP); Haemophilus influenzae Type B (Hib); Inactivated Poliovirus vaccine (IPV); pneumococcal vaccine (PCV); rotavirus vaccine (RV)

Which intervention should the nurse suggest to the caregiver?

Apply a cold pack to the injection site

Which vaccines are contraindicated during pregnancy? Select all that apply.

The MMR, varicella, and zoster vaccines are all considered live attenuated (weakened) vaccines and are contraindicated in clients who are pregnant.​

A nurse is educating a client on vaccines. The nurse knows that the client understands the education when the client makes which statement?

"The influenza vaccination gives me acquired immunity to the flu."

Which scenario represents a major ethical and legal issue for all community/public health care professionals?

Balancing individual autonomy against community protection.

A nurse is preparing to administer a live vaccine to a client. The nurse knows that live vaccines are contraindicated if a client has which conditions? Select all that apply.

ALL except Use of aerosolized steroids

What is the likelihood of the child getting measles in school?

Low, as most of the child's playmates have been immunized.

The nurse is working at the local health department. Review the nurse's note.

The nurse is concerned about the painful rash, loss of appetite, abdominal discomfort, and increased frequency of diarrhea and a temperature of 100.9ºF. The client being accompanied by their spouse, the pulse, respiratory rate, and blood pressure are normal findings. ​

For each finding, indicate if the finding is consistent with clinical manifestations of hepatitis A, meningococcal disease, pneumococcal disease, or herpes zoster. Each finding may be associated with more than one communicable disease.

Hepatitis A - fever, jaundice, malaise, loss of appetite, diarrhea, nausea, abdominal discomfort, dark-colored urine​.

Meningococcal disease - fever, headache, stiff neck, nausea, vomiting, photophobia, confusion​.

Pneumococcal disease - fever, chills, difficulty breathing, chest pain​.

Herpes Zoster (Shingles) - fever, headache, chills, painful rash/blisters on the trunk of the body, pain, burning, numbness, or tingling sensation, sensitivity to touch​.

The nurse is working at the local health department. Review the nurse's note.

The client is at highest risk for developing herpes zoster (shingles) due to their physical age.

The nurse is caring for an older adult client at the local health department. Review the nurse's note and the healthcare provider orders. For each nursing action, indicate if it is indicated or contraindicated.

Indicated:

Monitor temperature

Monitor urine output

The nurse is caring for an older adult client at the local health department. Review the nurse's note and the healthcare provider orders. Click to highlight the 3 orders that the nurse should perform right away.

acyclovir

hydrocondone

swab blisters

. Click to specify if each statement by the client indicates an understanding or no understanding of the discharge instructions.

No understanding:

"The vaccine could have prevented this."

"I can take the Norco pill and the Tylenol pill at the same time."