Exam (elaborations)
Chapter 6. Infectious Disease
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 6. Infectious Disease
[Show more]
Content preview
Chapter 6. Infectious DiseaseMULTIPLE CHOICE
1. Pertussis vaccination should begin at which age?
a. Birth
b. 2 months
c. 6 months
d. 12 months
ANS: B
The acellular pertussis vaccine is recommended by theAmerican Academy of Pediatrics
beginning at age 6 weeks. Infants are at greater risk for complications of pertussis. thevaccine is
not given after age 7 years, when therisks of thevaccine become greater than those of pertussis.
thefirst dose is usually given at the2-month well-child visit. Infants are highly susceptible to
pertussis, which can be a life-threatening illness in this age group.
DIF: Cognitive Level: Understanding REF: dl. 209
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. A mother tells thenurse that she does not want her infant immunized because of
thediscomfort associated with injections. What should thenurse explain?
a. This cannot be prevented.
b. Infants do not feel pain as adults do.
c. This is not a good reason for refusing immunizations.
d. A topical anesthetic can be applied before injections are
given. ANS: D
,To minimize thediscomfort associated with intramuscular injections, a topical anesthetic agent
can be used on theinjection site. These include EMLA (eutectic mixture of local anesthetic) and
vapor coolant sprays. Pain associated with many procedures can be prevented or minimized by
using theprinciples of atraumatic care. Infants have neural pathways that will indicate pain.
Numerous research studies have indicated that infants perceive and react to pain in thesame
manner as do children and adults. themother should be allowed to discuss her concerns and
thealternatives available. This is part of theinformed consent process.
DIF: Cognitive Level: Analyzing REF: dl. 207
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Physiological Integrity
3. A 4-month-old infant comes to theclinic for a well-infant checkup. Immunizations she should
receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus
vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has
cancer and is receiving chemotherapy. Nursing considerations should include which?
a. DTaP and IPV can be safely given.
b. DTaP and IPV are contraindicated because she has a cold.
c. IPV is contraindicated because her sister is immunocompromised.
d. DTaP and IPV are contraindicated because her sister is immunocompromised.
ANS: A
, These immunizations can be given safely. Serious illness is a contraindication. A mild illness
with or without fever is not a contraindication. These are not live vaccines, so they do not pose a
risk to her sister.
DIF: Cognitive Level: Analyzing REF: dl.
202 TOP: Integrated Process:
Teaching/Learning MSC: Client Needs:
Physiological Integrity
4. Which serious reaction should thenurse be alert for when administering vaccines?
a. Fever
b. Skin irritation
c. Allergic reaction
d. Pain at injection site
ANS: C
Each vaccine administration carries therisk of an allergic reaction. thenurse must be prepared
to intervene if thechild demonstrates signs of a severe reaction. Mild febrile reactions do occur
after administration. thenurse includes management of fever in theparent teaching. Local skin
irritation may occur at theinjection site after administration. Parents are informed that this is
expected. theinjection can be painful. thenurse can minimize thediscomfort with topical
analgesics and nonpharmacologic measures.
DIF: Cognitive Level: Understanding REF: dl. 209 TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity
5. Which muscle is contraindicated for theadministration of immunizations in infants and young
children?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mentor2000. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62774 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now