Podcast
Questions and Answers
What is a recommended procedure when administering multiple vaccines at once?
What is a recommended procedure when administering multiple vaccines at once?
It is not necessary to remind caregivers of children to comply with the prescribes schedule of routine immunization.
It is not necessary to remind caregivers of children to comply with the prescribes schedule of routine immunization.
False
What vaccine is administered at ages 6, 10, and 14 weeks?
What vaccine is administered at ages 6, 10, and 14 weeks?
Oral Polio Vaccine (OPV)
The vaccine used for stimulation of GI mucosal immunity in children is the _____ vaccine.
The vaccine used for stimulation of GI mucosal immunity in children is the _____ vaccine.
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Match the following vaccines with their characteristics:
Match the following vaccines with their characteristics:
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What can occur in children older than 3 months due to the pertussis component?
What can occur in children older than 3 months due to the pertussis component?
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Booster doses are necessary for the effective administration of vaccines.
Booster doses are necessary for the effective administration of vaccines.
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What is the dose for the Oral Polio Vaccine?
What is the dose for the Oral Polio Vaccine?
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Which vaccine is administered at birth?
Which vaccine is administered at birth?
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The side effects of the Hepatitis B vaccine include severe allergic reactions requiring immediate treatment.
The side effects of the Hepatitis B vaccine include severe allergic reactions requiring immediate treatment.
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What is the proper route for administering the Hepatitis B vaccine?
What is the proper route for administering the Hepatitis B vaccine?
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In cases of suppuration, the lymph glands should be treated as deep ________.
In cases of suppuration, the lymph glands should be treated as deep ________.
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Match the following laws and policies with their descriptions:
Match the following laws and policies with their descriptions:
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What site is recommended for administering the Hepatitis B vaccine?
What site is recommended for administering the Hepatitis B vaccine?
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Cold chain maintenance is critical for the effectiveness of vaccines.
Cold chain maintenance is critical for the effectiveness of vaccines.
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What is the composition of the Hepatitis B Vaccine?
What is the composition of the Hepatitis B Vaccine?
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What is the correct storage temperature for vaccines like OPV and BCG?
What is the correct storage temperature for vaccines like OPV and BCG?
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Local tenderness is a side effect of the Inactivated Polio Vaccine (IPV).
Local tenderness is a side effect of the Inactivated Polio Vaccine (IPV).
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What should be done if a child vomits after receiving a vaccine?
What should be done if a child vomits after receiving a vaccine?
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For children aged 6, 10, and 14 weeks, the ____________ vaccine is administered.
For children aged 6, 10, and 14 weeks, the ____________ vaccine is administered.
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Match the vaccine to its corresponding age group for administration:
Match the vaccine to its corresponding age group for administration:
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What is considered an absolute contraindication for vaccination?
What is considered an absolute contraindication for vaccination?
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The Measles, Mumps, and Rubella (MMR) vaccine is administered subcutaneously.
The Measles, Mumps, and Rubella (MMR) vaccine is administered subcutaneously.
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What diluents should be used for the Measles Rubella vaccine for children under 9 months?
What diluents should be used for the Measles Rubella vaccine for children under 9 months?
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The nursing management for administering BCG includes protecting it from ____________.
The nursing management for administering BCG includes protecting it from ____________.
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What vaccine should be given for a child aged 9 months to 5 years during a measles epidemic?
What vaccine should be given for a child aged 9 months to 5 years during a measles epidemic?
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Reusable vaccines like OPV can last up to 4 weeks under appropriate conditions.
Reusable vaccines like OPV can last up to 4 weeks under appropriate conditions.
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What should be done to enhance absorption before vaccinating a child?
What should be done to enhance absorption before vaccinating a child?
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The dose of the Inactivated Polio Vaccine (IPV) is ____________ ml.
The dose of the Inactivated Polio Vaccine (IPV) is ____________ ml.
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Match the side effects to their respective vaccines:
Match the side effects to their respective vaccines:
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Study Notes
Fundamentals of Immunization
- Oral alcohol should dry the mouth before vaccine injection.
- No side effects are typically noted from alcohol used in preparation.
- Maintain NPO (nothing per oral) for 30 minutes post-vaccine to prevent vomiting and ensure absorption.
- For vomiting children, administer another vaccine dose; diarrhea allows OPV (oral polio vaccine) but counts as a missed dose, so schedule next visit accordingly.
Inactivated Polio Vaccine (IPV)
- Prevents poliomyelitis; provided as a liquid, clear solution.
- Target age: 14 weeks with a dose of 0.5 ml via intramuscular (IM) injection in the vastus lateralis.
- Local tenderness may occur post-injection.
- Must adhere to strict cold chain, aseptic techniques, and monitor with Vaccine Vial Monitor (VVM).
Pneumococcal Conjugate Vaccine (PCV)
- Designed to combat pneumonia and meningitis; delivered in a liquid form.
- Doses given at ages 6, 10, and 14 weeks, with a dose of 0.5 ml administered via IM in the vastus lateralis.
- For ages 2-5 years, offer one dose.
- Cold compresses recommended for post-injection management.
Measles, Mumps, Rubella (MMR) Vaccine
- Administered at 9 months and again at 12-15 months.
- Composed of live-attenuated viruses with potential side effects like local soreness and mild fever.
- Delivered subcutaneously (SC) at a dose of 0.5 ml in the outer arm.
- Vitamin A supplementation (200,000 IU) may enhance immunity.
Oral Polio Vaccine (OPV)
- Clear, pinkish live-attenuated vaccine aimed at GI immunity, administered at ages 6, 10, and 14 weeks.
- Dose delivered orally as 0.5 ml (2 drops).
- Vaccines can be mixed or given same day at different injection sites, maintaining distance when administering multiple in one leg.
Hepatitis B Vaccine
- Immunizes against Hepatitis B; cloudy solution derived from plasma or RNA recombinant.
- Given at birth with a 0.5 ml dosage via IM injection at the vastus lateralis site.
- Local soreness at the injection site is common; cold compresses may alleviate discomfort.
Pentavalent Vaccine
- Combines protection against Diphtheria, Pertussis, Tetanus, Hepatitis B, and Hib.
- Administered according to recommended schedule up to ages designated for vaccination.
Contraindications and Considerations
- Hospitalization-required serious conditions and immunocompromised states like AIDS are absolute contraindications.
- Mild conditions (fever, respiratory infections, diarrhea, malnutrition) are generally not contraindications.
- Ensure adherence to routine immunization schedules and instructions for caregivers regarding common side effects.
Policies and Laws
- PD No. 996 mandates immunization for infants and children below 8 years.
- RA 7846 includes Hepatitis B for children under 8 years.
- Mandatory Infants and Children's Health Immunization Act (RA 10152) governs immunization programs through age 5 and includes new vaccines.
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Description
This quiz covers important nursing management considerations when administering vaccines such as BCG, AMV, and MMR. Key focus areas include preparation techniques, side effects, and specific guidelines for enhancing vaccine absorption. Understanding these principles is crucial for effective nursing practice in immunization.
