Vaccines Q&A for Healthcare Professionals

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a common adverse reaction associated with Meningococcal vaccines?

Nausea

Cough

Rash

Injection site pain (correct)

Which of the following populations is recommended for the HPV vaccine?

Children under 5

Adults over 50

Pregnant women

Adolescents aged 9–26 (correct)

What is a contraindication for receiving the Pneumococcal vaccine?

Immunocompromised state

Mild fever

Age over 65

Severe allergy to the vaccine or prior dose (correct)

Which side effect is commonly associated with the Measles (MMR) vaccine?

All of the above Signup and view all the answers

What should be monitored for 15 minutes after administration of the Meningococcal vaccine?

Allergic reactions Signup and view all the answers

What is the preferred variant of the Zoster (Shingles) vaccine for adults aged 50 and older?

Shingrix Signup and view all the answers

Which of these is NOT a side effect of the Varicella (Chickenpox) vaccine?

High fever Signup and view all the answers

In which circumstance should vaccination for Rabies be given?

Post-exposure or pre-exposure prophylaxis Signup and view all the answers

What is a common adverse reaction to the HPV vaccine?

Fainting Signup and view all the answers

What monitoring action should be taken after administration of the Zoster vaccine?

Monitor for fainting Signup and view all the answers

What is a common adverse reaction associated with Tetanus Immune Globulin (TIG)?

Injection site reaction Signup and view all the answers

Which contraindication is specifically associated with Rh Immune Globulin (RhoGAM)?

Rh-positive individuals Signup and view all the answers

What is the primary use of Epoetin Alpha?

Treating anemia in chronic kidney disease or chemotherapy Signup and view all the answers

Which of the following is a potential adverse reaction to Filgrastim (G-CSF)?

Elevated white blood cell count Signup and view all the answers

What should be monitored during the administration of antivenins for snake bites?

Potential anaphylaxis Signup and view all the answers

Which side effect is least likely to be experienced with the use of Leucovorin?

Severe headache Signup and view all the answers

What is the role of folic acid in patients with anemia?

Treats folic acid deficiency Signup and view all the answers

Which of the following conditions should guide a nurse to withhold Epoetin Alpha?

Uncontrolled hypertension Signup and view all the answers

What is the primary action of Rh Immune Globulin (RhoGAM)?

Prevents Rh sensitization Signup and view all the answers

What is a common side effect of administering antivenins?

Fever Signup and view all the answers

Study Notes

Vaccines

Meningococcal (A, C, W, Y) & Meningococcal B: Prevents meningitis caused by Neisseria meningitidis. Potential side effects include injection site pain, fever, headache, and fatigue. Contraindicated in those with severe allergic reactions to the vaccine. Nurses must verify patient age and risk factors, educate about side effects, and monitor for reactions post-administration.
Pneumococcal (PCV13/23): Prevents diseases caused by Streptococcus pneumoniae, including pneumonia and meningitis. Common side effects include redness, swelling, mild fever, and myalgia. Nurses need to verify indication based on patient factors (e.g., older adults, immunocompromised), and administer following recommended sequencing with other vaccines.
Measles (MMR Vaccine): Prevents measles, mumps, and rubella. Potential adverse reactions include fever, rash, joint pain, and, rarely, febrile seizures or anaphylaxis. Contraindications include pregnancy and severe immunosuppression. Nurses must ensure the patient isn't pregnant or planning pregnancy within a month and assess their immune status.
HPV (Human Papillomavirus): Prevents HPV-related cancers and genital warts. Potential side effects include pain, swelling, fainting (vasovagal syncope), and fever. Contraindicated in those with serious allergic reactions to previous doses. Nurses should recommend it to adolescents (9–26 years) and monitor for fainting.
Varicella (Chickenpox): Prevents chickenpox caused by Varicella zoster virus. Adverse reactions include fever, mild rash, and anaphylaxis. Contraindicated in pregnant women and those with immunosuppression. Nurses must check immune status and advise against pregnancy for a month post-vaccination.
Zoster (Shingles): Prevents shingles in adults aged 50+. Adverse reactions include pain, redness, myalgia, and fever. Contraindicated in those with serious allergic reactions. Nurses should administer in two doses (0 and 2–6 months).
Rabies Vaccine: Provides post-exposure or pre-exposure prophylaxis against rabies. Potential side effects include injection site pain, fever, headache, and nausea. Contraindicated in those with severe allergic reactions. Nurses follow PEP protocols and may administer with rabies immunoglobulin if needed.

Immune Globulins and Antivenins

Rh Immune Globulin (RhoGAM): Prevents Rh sensitization in Rh-negative mothers. Adverse reactions include injection site reactions, fever, and chills. Contraindicated for Rh-positive individuals and those with immune thrombocytopenia. Administer within 72 hours of delivery or miscarriage. Verify Rh status.
Tetanus Immune Globulin (TIG): Provides post-exposure prophylaxis for tetanus. Adverse effects include local pain, fever, and hypersensitivity. Contraindicated in those with severe allergies. Administer along with tetanus toxoid. Assess wound exposure risk.
Antivenins (e.g., for Snake Bites): Neutralize venom from venomous animals. Significant and potentially life-threatening adverse reactions include anaphylaxis and serum sickness. Contraindicated for those sensitive to the antivenin or animal proteins. Nurses closely monitor for anaphylaxis and prepare emergency equipment during infusion.

Medications

Filgrastim (G-CSF): Stimulates white blood cell production post-chemotherapy or in neutropenia. Potential side effects include bone pain, leukocytosis, and spleen enlargement. Contraindicated for those with hypersensitivity to E. coli-derived proteins. Nurses must monitor complete blood count (CBC) and educate patients about bone pain.
Folic Acid: Treats folic acid deficiency, such as anemia or during pregnancy. Adverse reactions are rare, but hypersensitivity is possible. Contraindicated in no significant way. Nurse implementation includes educating patients on dietary sources. Side effects include mild gastrointestinal upset.
Leucovorin: Rescue therapy in methotrexate toxicity or enhances chemotherapy effectiveness. Adverse reactions are rare but may include allergic reactions. Contraindicated in those with pernicious anemia. Nurses should monitor methotrexate levels. Side effects include nausea and fatigue.
Epoetin Alpha: Treats anemia in chronic kidney disease (CKD) or during chemotherapy. Possible adverse reactions include hypertension and thromboembolism. Contraindicated in patients with uncontrolled hypertension. Nurses should closely monitor hemoglobin levels. Side effects include headache and joint pain.
Cyanocobalamin (Vitamin B12): Treats B12 deficiency, such as pernicious anemia. Adverse reactions are rare and may include injection site pain or itching. Contraindicated for those allergic to cobalt or B12. Monitor for anemia improvement. Side effects include mild diarrhea and rash.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers essential information about various vaccines, including meningococcal, pneumococcal, and MMR vaccination. It evaluates knowledge on their preventive measures, potential side effects, contraindications, and nursing responsibilities during administration.