Chapter 22: Communicable Diseases

Chapter 22: Communicable Diseases

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Which of the following is a consideration in the administration of immunizations?
Immunizations can only be administered if a child is free from any illnesses.
Caregivers should administer aspirin prior to the injection to prevent any side effects.
Children should be isolated from other children for 24 hours after receiving immunizations.
Caregivers should be advised that immunizations may cause a mild fever or soreness and redness at the injection site.

ANS: 4

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1.	Children with mild signs and symptoms of a cold may receive immunizations. However, if they are febrile, it is better to hold off on the immunization until later.
2.	Acetaminophen or ibuprofen are recommended to relieve any pain or fever following immunizations.
3.	Generally, children do not need to be isolated from others after immunizations.
4.	Some immunizations may cause a mild fever, or soreness and redness at the injection site. Caregivers may give acetaminophen or ibuprofen to relieve any pain or fever. Warm compresses may also be applied to the injection site.

A vaccine that contains fragments of cells that stimulate an immune response, but does not contain the whole cell is known as a:
Toxoid.
Subunit.
Acellular.
Attenuated.

ANS: 3

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1.	A toxoid vaccine is made from toxins produced by bacteria that are inactivated so that they cannot cause harm, but can still stimulate an immune response.
2.	A subunit is produced from small fragments of viral protein.
3.	An acellular vaccine contains fragments of cells that stimulate an immune response, but do not contain the whole cell.
4.	An attenuated vaccine is one produced from the weakened virus.

Which of the following is true about immunizations containing thimersal and autism?
Thimersal has been removed from all vaccines.
Only the MMR vaccine is associated with autism.
Thimersal has been linked to learning disabilities, but not autism.
Researchers have found no evidence that thimersal is linked to autism.

ANS: 4

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1.	Even though researchers have found no evidence that thimersal is linked to autism, the Advisory Committee on Immunization Practices has recommended that thimersal be removed from all vaccines.
2.	Currently, this preservative is only found in very small amounts in some flu vaccines. Also, no evidence has been found that the MMR vaccine is associated with autism.
3.	Even though researchers have found no evidence that thimersal is linked to autism, the Advisory Committee on Immunization Practices has recommended that thimersal be removed from all vaccines.
4.	Even though researchers have found no evidence that thimersal is linked to autism, the Advisory Committee on Immunization Practices has recommended that thimersal be removed from all vaccines.

A 27-year-old mother has just delivered a healthy 7 lb. 3 oz. baby boy. Which of the following is true regarding the baby’s immunization schedule for Hepatitis B?
The infant will need two doses administered at least 6 months apart.
The infant should not receive the vaccine until at least 12 months of age.
The infant will not need any vaccines at this time because of passive immunity from the mother.
If the mother is Hepatitis B surface antigen positive, the baby will need 0.5ml of Hepatitis B Immune Globulin.

ANS: 4

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1.	Three doses of Hepatitis B are given before age 2: at birth, at 1 to 2 months of age, and after 24 weeks of age.
2.	Three doses of hepatitis B are given before age 2: at birth, at 1 to 2 months of age, and after 24 weeks of age.
3.	Immunity will not occur passively.
4.	If the mother is Hepatitis B surface antigen (HbsAg) positive, 0.5 ml of Hepatitis B Immune Globulin (HBIG) is also given.

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