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statements regarding SC administration of vaccines. (Select all that apply) FluMist, Fluzone and Vivotif are administered SQ SC injxn are administered into the fatty tissue over the triceps. SC injxns are administered using a needle that is 5/8 inch long SC injxns are administered at a 45 degree angle. Zostavax, Varivax and MMR are administered SQ SC injxn are administered into the fatty tissue over the triceps. SC injxns are administered using a needle that is 5/8 inch long SC injxns are administered at a 45 degree angle. Select the correct name for the chickenpox vaccine: Varivax JB is a 72-year-old male who is due for his tetanus vaccine. He lives in an apartment
with his daughter, a 3-month-old granddaughter and a 2-year-old grandson. He does not know if he ever received the pertussis vaccine. Which vaccine should JB receive? Tdap Children get DtaP (5 doses) and older children, adolescents and adults get TdaP. Tdap is recommended for adults because they can pass it along to children and infants who are at highest risk of severe illness and death. An 14-month-old child was hospitalized two months ago for a dog bite injury. She was not on schedule with her tetanus vaccine series, so tetanus immune globulin was given. Which vaccine would be affected by this treatment? Measles-mumps-rubella-varicella (MMRV) MMR and varicella vaccines are live virus vaccines that require replication. If antibody containing products have been administered, the vaccine should not be given for at least 3 months (required time of separation varies depending on the product received). If vaccine has been given, antibody products should be avoided for at least 2 weeks after MMR and varicella-containing vaccines to avoid interference with vaccine efficacy. Which of the following groups should receive the
pneumococcal polysaccharide vaccine (Pneumovax 23)? Select all that apply 68 y/o female with HTN but no other comorbities Select the correct administration site for Zostavax vaccine in an adult: Fatty tissue over the triceps KH approaches pharmacist about 7 y/o daughter getting influenza vaccine. How would you respond? If this is the first time she is receiving the vaccine, she should receive two doses spaced 4 weeks apart A small community pharmacy just received a delivery of influenza vaccine. The pharmacy has a small refrigerator with a freezer compartment within the refrigerator. The pharmacist tells the staff to make sure that the FluMist is kept in the refrigerator door to keep it separate for the influenza injections. Which of the following statements regarding vaccine storage is correct? The influenza vaccine should be frozen, not refrigerated Food can be kept in the same refrigerator but not on the same shelf as the vaccine (or any medication) The influenza vials for injection should be kept in the door The refrigerator in the pharmacy is acceptable if the door is not open and closed repeatedly. This type of refrigerator is not acceptable.
This type of refrigerator is not acceptable. It is very rare for a patient receiving an injection to experience anaphylaxis. However, if any serious reaction does occur to a vaccine, it must be reported to the following agency. VAERS Which of the following patients should receive Pneumovax 23 x1 before age 65? A patient with heart failure Which of the following is true regarding Zostavax: Select all that apply Once reconstituted the vaccine must be used within 30 minutes or discarded Which of the following patients should receive Bexsero? 19 y/o on a college campus during a meningitis serogroup B out break A pharmacy that is administering vaccines must be
prepared to administer the following medication in the event of an anaphylactic reaction: Epinephrine injection DV is a healthy 66 y/o female. Her PCP believes that she would benefit from receiving both Prevnar 13 and Pneumovax 23. How should the vaccines be sequenced? Prevnar 13 today Which of the following vaccines can be given in the time interval as stated below? Proquad and FluMist separated by 14 days MMR and FluMist separated by 10 days Varivax and FluMist separated by 28 days MMR and the zoster vaccine (Zostavax) seperated by 14 days MMR and the zoster vaccine (Zostavax) seperated by 7 days Varivax and FluMist separated by 28 days A community pharmacist who runs a vaccination clinic has run out of the vaccine information sheets (VIS) for one of the vaccines. To find a current VIS for copying, the pharmacist can use which recommended website? (select all that apply) the center for disease control the immunization action coalition A community pharmacist who runs a vaccination clinic wants to review current vaccine administration recommendations. What source is best to obtain the current vaccine recommendations and other essential immunization information? Koda Kimble: Applied therapeutics
Center for Disease Control website The shingrix vaccine is recommended for which of the following patient groups? Adults 60 years and older and children at 2-3 months and 10-11 years old adults 40 years and older Adults 50 years and older and children at 2-3 months and 10-11 years old Adults 60 years and older and college students who live in dormitories Adults 50 years and older
Adults 50 years and older Which vaccine is contraindicated with a severe allergy to eggs or gelatin? yellow fever Which of the following, if taken, would qualify as a steroid-induced immune suppressive state? (select all that apply) a patient who recently infected HIV an 11.6 kg child receiving 30 mg prednisolone for the past 22 days the use of a beclomethasone inhaler twice daily for at least 4 weeks an elderly female who received a triamcinolone intra-articular injection for gout x1 two days ago an adult who received 4 mg of dexamethasone daily for the past 3 weeks an 11.6 kg child receiving 30 mg prednisolone for the past 22 days an adult who received 4 mg of dexamethasone daily for the past 3 weeks Which of the following statements about the Shingrix vaccine is correct? (select all that apply) it prevents infections caused by the herpes simplex virus it should be administered even if the patient has a history of shingles antivirals (ex. acyclovir) can interfere with vaccine response it is administered SQ in the fatty tissue above the triceps it should be injected into the deltoid muscle it should be administered even if the patient has a history of shingles it should be injected into the deltoid muscle a 67 year old patient at your pharmacy has diabetes and heart disease. She states that she has not received any immunization in the past 10 years except for her annual flu shot. Which vaccine should the patient receive today? MMR Pneumovax 23 LM, a 29 year-old female, is getting her first job as a hospital pharmacist since completing school. Her first day of work is September 15. She completed her hepatitis B vaccine series (three doses, with evidence of immunity) during pharmacy school. Her mother reports that she was the only child in the family who did not contract chickenpox. What other vaccines should LM receive now? (Select ALL that apply.) RotaTeq Tdap vaccine, if no record of previous booster with a perussis-containing tetanus vaccine Select the correct statement concerning active and passive immunity: The MMR vaccine provides active immunity Active immunity is weaker than passive immunity Immune globulin provides active immunity One way to get passive immunity is to survive an infection Breast milk, during the early days of a baby's life, provides active immunity The MMR vaccine provides active immunity Select the correct group of patients for whom hepatitis B vaccine is recommended: 39 y/o patient with cirrhosis and an 18 y/o leaving for college next month 66 y/o with HF and 35 y/o with hx of drug abuse 58 y/o with diabetes, 39 y/o dialysis patient and an infant born 12 hours ago 44 y/o patient with HIV, a 31 y/o surgery resident and a 27 y/o patient with G6PD deficiency 52 y/o patient who is status post-splenectomy and a 28 y/o patient with multiple sex partners 58 y/o with diabetes, 39 y/o dialysis patient and an infant born 12 hours ago WD is a 13 y/o female. Her mother is upset that the pediatrician wants to administer the HPV vaccine. Which of the following statements concerning HPV are correct? It prevents cervical, vaginal, and orophryngeal cancers, as well as genital warts It has been associated with fainting after vaccination and should be administered while the patient is lying down It should only be administered to males; females are not candidates for the vaccine If the patient receives the vaccine today, only two doses are required It should only be administered in males and females who are sexually active It prevents cervical, vaginal, and orophryngeal cancers, as well as genital warts If the patient receives the vaccine today, only two doses are require Select the correct information about Zostavax and Varivax vaccines. the diluent must be stored in the freezer and the vaccine is refregerated both the diluent and the vaccines are kept frozen until needed the vaccines are ready to use, no reconstitution required Once drawn up in a syringe, the vaccine must be used quickly, do not store reconstituted vaccine Only Zostavax (not Varivax) can be given during pregnancy Once drawn up in a syringe, the vaccine must be used quickly, do not store reconstituted vaccine A 64 y/o female is in the pharmacy to pick up her meloxicam prescription and some throat lozenges on August 24. The pharmacist notices that she is congested, with sneezing and she mentions a sore throat. Upon questioning, she states that she has not received her influenza vaccine yet this season. Which of the following is correct? She should not receive the influenza vaccine today because of an interaction with her medication She should not receive the vaccine today as she is too ill She should receive the vaccine today She will need to receive 2 doses of influenza this year, 1 dose today and 1 dose in 4 weeks She should not receive the vaccine until after Oct. 1, to avoid the immunity waning before the end of the influenza season She should receive the vaccine today Which vaccine can cause a false positive reaction to the Tuberculin Skin Test (TST)? Varivax Bacille Calmette-Guerin A 62-year-old male underwent a splenectomy secondary to refractory thrombocytopenia. Which vaccine should he receive at least 2 weeks before this procedure? Menactra Splenectomy patients should receive the meningococcal and Hib vaccines, however, Menhibrix is used only in children age 6 weeks to 18 months. Menactra and Menveo are quadrivalent conjugate vaccines containing the ACW and Y serogroups. General Rules for all Vaccines: Live Vaccines and Antibody: Simultaneous administration of vaccine and antibody (in the form of immunoglobuliin) is recommended for post-exposure prophylaxis for certain diseases (ex. hepatitis A and B, rabies and tetanus). ... PPD = purified protein derivative Patient should be monitored post immunization for at least _____minutes (watch for allergic reactions, syncope, dizziness or falls) 15 HY is a 77 y/o female with diabetes, HF and rheumatoid arthritis. She would like to get a flu vaccine while her prescriptions are filled. Which of the following formulations would not be appropriate for her? FluMist Which of the following is incorrect regarding vaccine storage: MMR vaccine can be stored in the freezer Cholera vaccine must be stored in the refrigerator MMRV vaccine must be stored in the freezer MMR vaccine can be stored in the refrigerator Vivotif must be stored in the refrigerator Cholera vaccine must be stored in the refrigerator A pharmacist is working in a hospital that requires hepatitis B vaccination. She received her 1st dose of a 3-dose series. She did not return for the 2nd dose, which was due one month later. It is now four months after the 1st dose. Select the correct recommendation: The first dose provided adequate protection, the second doses are optional She is more than 30 days late with the 2nd dose; she must start the series over She should get the 2nd dose now and return the 3rd dose at the proper time She should receive a double dose of hepatitis B vaccination to make up for the late dose. She is no longer a candidate for hepatitis B vaccination She should get the 2nd dose now and return the 3rd dose at the proper time Which of the following vaccines comes as a powder that is stored in the freezer and requires reconstitution with the supplied diluent? Select all that apply Varivax Which of the following statements concerning the recombinant vaccine Flublok are correct? Select all that apply Flublok is approved for use in patients 18 years and older Flublok is given SQ Flublok is produced with recombinant DNA techniques and is completely free of egg products Flublok is preferred in children < 8 y/o If a patient wishes to receive Flublok and they have had a severe reaction to eggs (anaphylaxis they cannot receive Flublok in the pharmacy Flublok is approved for use in patients 18 years and older Flublok is produced with recombinant DNA techniques and is completely free of egg products With flu ages 6 months to 8 years (not previously vaccinated) give 2 doses ____ weeks apart 4 Which of the following patients is the measles-mumps-rubella vaccine CI? 56 y/o female that lives with elderly mother who takes methotrexate for RA 27 y/o patient currently on 5-7 day of amoxicillin Rx for tooth abscess 23 y/o with head cold + fever of 100.1 the previous evening 31 y/o female who is 31 weeks pregnant 51 y/o with HIV and CD4 count of 292 31 y/o female who is 31 weeks pregnant Normal interval between Prevnar 13 and Pneumovax 23 is 12 months unless patient is immunocompromised then ___ weeks 8 Which vaccines contain hepatitis B vaccine only? Recombivax-HB Havrix - hep A A pharmacist is preparing an injxn for a 63 y/o male, who weighs 280 lbs. The pharmacist is going to administer the Zostavax vaccine. Which of the following statements concerning Zostavax injxns is correct? Use a needle at least 1.5 inches long This vaccine is administered SQ in the fatty tissue over the triceps The vaccine must be reconstituted prior to use with sterile or bacteriostatic water Zostavax is reommended in patients woh have had shingles before Zostavax will help protect the patient against developing a herpes zoster outbreak This vaccine is administered SQ in the fatty tissue over the triceps Zostavax is reommended in patients woh have had shingles before Which of the following is not a
live vaccine? Typhim Vi Exposure to which of the following requires administration of immune globulin at the time of vaccination? Eppstein-Barr virus Rabies Which of the following could interfere with the effectiveness
of a dose of Zostavax? (select all that apply) Valtrex SC only vaccines (4) MMR The CDC does not recommend using acetaminophen before or at vaccination as it may decrease immune response; it can be used afterwards if needed for mild pain/or fever. T or F True PJ is 13 month old male who presents to the pediatrician for a routine check up. hea has never received influenza vaccine. How will he get vaccinated? One dose to prime the immune system plus a second dose 28 days later. 6 months - 8 years When at the health clinic to get influenza vaccines for herself and her 13 month old daughter, a mother noted on the screening form that her daughter received Vaqta earlier that month, which of following is True? Vaqta is a hepatitis A vaccine Vaqta is a conbination of hepatitis B and A Vaqta is a varicella vaccine Vaqta is a tetanus, diptheria and pertussis vaccine Vaqta is a hepatitis C vaccine Vaqta is a hepatitis A vaccine A child with sickle cell disease has not been vaccinated for meningococcal disease. Which of the following is true regarding meningococcal disease/vaccine? (select all that apply( This patient should receive Trumenba or Bexsero once he turns y/o Meningococcal vaccine is a routine childhood series given to all infants Under current recommendations, this patient will require repeated vaccinations (boosters) every 5 years Quadrivalent meningococcal vaccines include Menactra and Menveo The damage of the spleen caused by sickle cell disease puts this patient at risk for meningococcal disease This patient should receive Trumenba or Bexsero once he turns y/o Under current recommendations, this patient will require repeated vaccinations (boosters) every 5 years Quadrivalent meningococcal vaccines include Menactra and Menveo The damage of the spleen caused by sickle cell disease puts this patient at risk for meningococcal disease Live vaccines can cause false-negative on tuberculin test. T or F True Children get 5 doses of what tetanus-containing vaccine? DTaP Prevention of Typhoid: Typhoid vaccine comes as oral capsule or as an IM injection Vivotif is a capsule formulation and requires refrigeration ... Which of the following vaccine names is not correctly matched? Adacel = tetanus diptheria pertussis vaccine Hiberix = hepatitis B vaccine It is a Haemophilus influenza type B vaccine In which of the following patients can Fluad be used for influenza prevention? patient who had a severe rxn 30 minutes after a dose of Flublok patient who wants quadrivalent vaccine patient who want egg free vaccine patient who had Guillain-Barre 2 weeks after receiving a flu vacccine 6 years prior 67 y/o female with hx of hypothyroidism 67 y/o female with hx of hypothyroidism Choose correct statement concerning HPV: They should be given in children who are sexually active A series of 3 IM injxn required for 16 y/o female receiving 1st dose A series of 2 IM injxns for 12 y/o female receiving her 1st dose A series of 3 IM injxns required in a 24 y/o male with HIV receiving 1st dose HPV vaccination is considered optional, not recommended for patients age 9-26 years A series of 3 IM injxn required for 16 y/o female receiving 1st dose A series of 2 IM injxns for 12 y/o female receiving her 1st dose A series of 3 IM injxns required in a 24 y/o male with HIV receiving 1st dose AD is a 12 month female with sickle cell disease who is at the clinic for a routine visit. She will receive her 4th dose of pneumococcal vaccine. Which of the following statements is/are accurate regarding the vaccine she will receive today? (select all that apply) She will receive Pneumovax 23 ... Which vaccine contains antigens for both hep A and B? Twinrix 62 y/o female patient came into the pharmacy to get flu shot. It was her 1st time getting annual vaccine. 3 days later, she comes back with hacking cough, mild weakness, stuffy nose and sore throat. She is afebrile and reports no muscle pain. She state the shot gave her the flu. What is most likely the reason? she has a cold 12 month old was hospitalized two months ago and received immune globulin for Kawasaki disease. Which vaccine/s would be adversely affected by this treatment if administered today? Inactivated polio vaccine Varicella vaccine Some vaccines contain gelatin, however the dietary regulations for most religions that do not consume animal products approve of vaccine use since the end product has been rendered pure. A few other vaccines contain egg products and can be avoided. ... The "a" in DTaP stand for Acellular, meaning that the pertussis component of the vaccine only part of the organism ... |
Which statements regarding the adverse effects of immunization are true Quizlet
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