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NURS 3031 Immunizations Questions With Complete Solutions

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NURS 3031 Immunizations Questions With Complete
Solutions

- HPV Correct Answer ch 68, start influenza end ending

- MMR Correct Answer Chapter 68 start measles mumps.. stop
@dipetherita and tetanus toxoids and acellular ...

- Routine childhood vaccination currently is recommended for
protection against Correct Answer 16 infectious diseases:
diphtheria, tetanus (lockjaw), pertussis (whooping cough),
measles, mumps, rubella, invasive H. influenzae type b, hepatitis
A, hepatitis B, polio, varicella (chickenpox), influenza, invasive
pneumococcal disease, meningococcal disease (meningitis),
rotavirus gastroenteritis, and genital human papillomavirus
infection.

- The chapter then provides a review of the target diseases.
Correct Answer

A -year-old child who has been receiving high-dose systemic
glucocorticoids for several months comes to a clinic for school
immunizations, which usually include the DTaP vaccine;
varicella virus vaccine [Varivax]; the measles, mumps, and
rubella virus (MMR) vaccine; and the inactivated poliovirus
vaccine (IPV). The clinic nurse will expect to administer which
vaccines to this child?
a.
All four school immunizations
b.
DTaP and IPV only

,c.
DTaP, OPV, and Varivax only
d.
DTaP and IPV, along with immunoglobulins Correct Answer
ANS: B
Children who are immunocompromised should not receive live
virus vaccines, including the MMR vaccine and Varivax.
Children taking high-dose systemic glucocorticoids are
immunocompromised and should not receive the vaccine until
therapy is stopped and normal glucocorticoid production returns.
The oral polio vaccine (OPV) contains live virus and is
contraindicated. Immunoglobulins are not indicated unless
children are exposed to the diseases themselves.

A 1-year-old child is scheduled to receive the MMR vaccine,
pneumococcal vaccine (PCV), Varivax, and hepatitis A vaccine.
The child's parents request that the MMR vaccine not be given,
saying that, even though there is no demonstrated link with
autism, they are still concerned about toxic levels of mercury in
the vaccine. Which response by the nurse is correct?
a.
"Most U.S.-made vaccines have zero to low amounts of
mercury."
b.
"Other vaccine preparations contain mercury as well."
c.
"Thimerosal is a nontoxic form of mercury."
d.
"You can get more mercury from breast milk and many foods on
the market." Correct Answer ANS: A

, Because of concerns about mercury levels, most U.S.-made
vaccines contain either zero or very low amounts of mercury.
Some multidose vials of flu vaccine still contain thimerosal, but
even that is a very low amount. Telling parents that other
vaccines contain mercury will increase their suspicion about
vaccines and further reduce their trust. Thimerosal is a mercury-
based preservative and thus has the same toxicity as mercury.
Although it is true that mercury is found in breast milk and other
foods, telling parents this belittles their concerns about the
vaccines.

A 1-year-old child receives the MMR vaccine. The next day the
child's parent calls the nurse to report that the child has a
temperature of 103°F. What will the nurse do?
a.
File an adverse event report with the Vaccine Adverse Event
Reporting System (VAERS).
b.
Notify the child's provider that thrombocytopenia is likely to
occur.
c.
Reassure the parent that fever can occur with the MMR vaccine.
d.
Tell the parent to take the child to the emergency department.
Correct Answer ANS: C
The MMR vaccine can have several adverse effects, including
fever up to 103°F; this is not considered a serious effect and
does not warrant filing an adverse event report with VAERS.
Thrombocytopenia is a rare but serious side effect of the MMR
vaccine but is not associated with fever. There is no need to
have the parent take the child to the emergency department.

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