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4) CH 36, vaccines
FSCJ Nursing program
13
Nursing
Undergraduate 3
10/27/2011

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Term
what occurs as a part of the human immune response, which is activated when a pathogen such as a bacterium or virus invades the body
Definition
Active immunity
Term
what is genetically determined in specific populations or families. Some pathogens cannot infect certain species, because the environment is not suitable
Definition
Natural immunity
Term
______ occurs from exposure to an antigen or from passive injection of immunoglobulins.
Definition
Acquired immunity
Term
involves the administration of a small amount of antigen, which although capable of stimulating an immune response does not typically produce disease
Definition
Vaccination
Term
occurs when an individual receives antibodies against a particular pathogen from another source.
Definition
Passive immunity
Term
Common mild reactions include
Definition
nclude swelling at the injection site and fever.
Term
. Absolute contraindications include
Definition
oderate or severe illness or anaphylaxis to a specific vaccine or vaccine component. (like eggs)
Term
1. The father of a 4-month-old infant calls in to the clinic reporting that his child is having a reaction to immunizations. What is the most important piece of information the nurse should elicit?

a. A list of the immunizations received

b. Whether the father has given the infant any acetaminophen

c. The signs/symptoms the infant is experiencing

d. The sites used to administer the immunizations
Definition
C
Term
2. The nurse is preparing to administer varicella vaccine to a young woman. Which factor has the greatest implication for this young woman's care?

a. The client tells the nurse she is “deathly afraid of needles.”

b. The medical record indicates that the client is allergic to eggs.

c. The medical history indicates the client had leukemia as a young child.

d. The client appears to be pregnant.
Definition
D
Term
3. A 38-year-old migrant farm worker presents to the clinic with a cut to his arm sustained when he reached into an “old metal drum.” The client has sutures placed, and the attending provider orders “Tdap” for him. What is the nurse's most important action in carrying out this order?

a. The nurse provides the client with a Vaccine Information Statement about Tdap in the client's primary language.

b. The nurse determines the exact date of the client's last tetanus booster.

c. The nurse documents that the client did not experience any side effects immediately following immunization.

d. The nurse provides the client with a record of the immunization administered at the visit.
Definition
A
Term
4. The nurse is preparing to administer routine, recommended immunizations to a medically fragile 6-month-old child. What is the most important information to know about this infant?

a. The infant receives all feedings via a gastrostomy tube.

b. The infant receives inhaled steroids daily.

c. The infant received his previous round of immunizations on time.

d. The infant is not yet able to roll over.
Definition
A
Term
5. A 61-year-old man is to receive zoster vaccine. What is essential for the nurse to discuss with this client?

a. Verify that the vaccine is being stored in a freezer maintained at ≤5° F.

b. Review the client's medication list and allergies.

c. Choose an appropriate needle length in order to administer the vaccine subcutaneously.

d. Confirm that the client has a history of chickenpox.
Definition
D
Term
6. The school nurse is reviewing all new student immunization records and making a list of needed immunizations. It is important for the nurse to know that which of the following are live attenuated vaccines? (Select all that apply.)

a. Intranasal influenza

b. DTaP

c. MMR

d. Rotavirus

e. IPV

f. Hepatitis A
Definition
A,C,D
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