Question

1. The measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as the second dose vaccine. The RN understands the following side effect with this vaccination. A. Increased risk of fever and febrile seizures with this vaccine combination over the MMR plus varicella two-shot regimen. B.JPatients must also receive MMRV as the second dose of MMR and varicella in Jorder to build adequate immunity. C. Patients should be premedicated with acetaminophen 15 minutes before the vaccine is given. D. Patients should not be around pregnant women for the first 72 hours after the vaccine is given. 2. The Nurse understands the general principle when administering live vaccines to include the following? Select ALL that APPLY A. Do not administer to immunocompromised patients B. Do not administer to patient with a febrile illness C. Do not administer during or one month after pregnancy D. Do not administer two live vaccines the same day E. Ask the patient about egg allergies 3. True/False: The Zoster vaccine is considered Live? 4. The RN is preparing to administer the Influenza vaccine. The RN will ask the patients about the following contraindications prior to administering. A. Egg allergy B. Neomycin allergy C. Interactions with prednisone D. History of site reaction

Answer 1

1.

Answer A option

The major side effect of the MMRV combined vaccine in contrast to the Two shot MMR and Varicella regimen is that, Various studies Show Increased frequency of development of high fever and febrile seizures, especially when taken as the first dose (administration during one to two years of age). Though the febrile seizures are often said to have good prognosis, it is considered as a major side Effect

2.

General principles While administering live vaccines include

Options A C D E

Reasons

Option A - in immuno compromised individuals, reactivation of the attenuated vaccine may occur resulting in disease

Option C - pregnancy Is an immuno compromised state, further the attenuated virus may cross placenta and cause disease in the infant

Option D - live vaccines are always administered with a gap of atleast 4 weeks

Option E - live vaccines like MMR & influenza are cultured in egg based media, hence may cause hypersensitivity reactions in Infants with egg allergy

Option B is false because mild illnesses and fever are not a contraindication for live vaccine administration

3.True

The zoster vaccine contain live attenuated strains of Varicella Zoster virus

4. A Egg allergy

As mentioned earlier, the influenze live vaccine is prepared in an egg based media hence it is always important to know the presence of any egg allergy

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