VACCINE
CLINICAL MANIFESTATIONS
COMPLICATIONS
NURSING MANAGEMENT
TRANSMISSION/PRECAUTIONS
100
The nurse should expect to administer these vaccines to a healthy 2-month-old during a well-child visit.
What are DTaP, Hep B, Hib and PCV (pneumococcal), Rotavirus, and IPV (inactivated Polio vaccine)
100
This disease manifests itself with a centripetal, pruritic, vesicular rash, slight fever, and malaise
What is the Chickenpox.
100
The usual cause of death with a severe case of Pertussis.
What is pneumonia.
100
The nurse would institute standard and droplet precautions until 24 hours after initiation of treatment and monitor for sequlae of acute rheumatic fever and acute glomerulonephritis for this communicable illness of childhood.
What is Scarlet Fever or Group A-Beta Hemolytic Streptococci (GAS)
100
These secretions need to be avoided with Erythema infectiosum or Fifth disease.
What is Respiratory.
200
MMR protects against Measles and Rubella and a third communicable disease.
What is Mumps
200
The cardinal manifestation of Erythema Infectiosum (Fifth Disease).
What is "erythema on face or "slapped face" appearance.
200
The complications of this "Fifth" communicable disease of childhood is usually self-limited arthritis and arthralgia and rarely myocarditis.
What is Erythema Infectiosum.
200
This may happen and should be considered a NURSING ALERT when applying lotions with active ingredients such as diphenhydramine in Caladryl, especially over open lesions where excessive absorption can occur.
What is drug toxicity.
200
Hepatitis A is spread directly or indirectly by this route of transmission. By the way, the incidence of HepA in the US has declined significantly among children since routine vaccination was recommended in many states beginning in 1999.
What is the fecal-oral route.
300
A newborn should get this vaccine at birth, then at one month and 6 months.
What is HepB
300
Known as "Sixth Disease," this communicable disease of childhood clinically manifests itself with 3-4 days of high fever then a discrete non-pruritic rose-pink macular or maculopapular rash appearing first on the trunk, then spreading to th neck, face, and extremities.
What is Exanthem Subitum or Roseola Infantum.
300
Rare due to vaccine requirements, this disease's most significant and life-threatening complication is mechanical or assisted ventilation in the case of respiratory paralysis, but also may have some muscle involvement requiring PT in the non-paralytic form.
What is Poliovirus.
300
A child with this vaccine-preventable disease should be isolated from others until vesicles have dried (usually 1 week after the onset of disease); Vaccinated children with a mild breakthrough case should be isolated until no new lesions are seen.
What is Varicella or Chickenpox.
300
This Vaccine-preventable disease is transmitted through blood or blood products or sexual contact.
What is Hepatitis B.
400
This vaccine protects against the Chickenpox.
What is Varicella.
400
In the prodromal phase, this disease may manifest itself with a high fever, vomiting, chills, headache, halitosis and then the tongue becomes coated and papillae become red and swollen (known as white strawberry tongue) which later turns to red strawberry tongue.
What is Scarlet Fever.
400
Toxic cardiomyopathy in the second to third week is a complication of this vaccine-preventable disease.
What is Diphtheria.
400
The nurse should dim the lights if photophobia is present and clean the eyelids with warm saline solution to remove secretions or crusts if a child has this vaccine-preventable illness (often seen in developing countries where vaccine administration is not carefully mandated).
What is Measles or Rubeola.
400
This vaccine-preventable disease is transmitted by exposure through cuts in the skin and manifests itself with muscle rigidity.
What is Tetanus.
500
This vaccine protects against Haemophilus Influenza type b and is given at 2 months, 4 months, 6 months, and 12 - 15 months, AND the disease it prevents was once the leading cause of meningitis in young children.
What is Hib
500
The cough with this vaccine-preventable disease occurs most often at night and consists of short, rapid coughs followed by sudden inspiration associated with a high-pitched crowing sound.
What is Pertussis or Whooping Cough.
500
Acute rheumatic fever is a complication of this communicable disease of childhood.
What is Scarlet Fever.
500
Isolation of the otherwise healthy child is not necessary with this fifth disease of childhood caused by human parvovirus.
What is Erythema Infectiosum.
500
These precautions should be taken when a child is diagnosed with Measles, Varicella, or TB.
What is airborne precautions (particle droplets smaller than 5 microns).
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