NURSING CARE OF FAMILIES
EXAM 1 VERIFIED
QUESTIONS AND ANSWERS
UPDATED 2024/2025
What |risk |factors |contribute |to |children's |increased |risk |for |disease? |- |correct |answer |-
Immature |immune |system
-Minimal |prior |exposure |to |disease
-Poor |hygiene
| > |Poor |health |and |immunodeficiency |in |some |cases
What |are |some |groups |at |higher |risk |for |infection |- |correct |answer |Children, |elderly, |
premature |babies, |low |income |families
Where |do |low |income |families |typically |live? |- |correct |answer |Urban |areas
What |are |common |routes |for |children |to |become |infected? |- |correct |answer |-Fecal-oral
-Respiratory
How |can |we |prevent |the |spread |of |disease? |- |correct |answer |-Hand |washing
-Standard |precautions
-Avoid |infected |individuals
-Promote |immunizations
-Decrease/eliminate |pathogens
Active |Immunity |- |correct |answer |Antibody |production |stimulated |by |vaccine |antigens |
without |causing |clinical |disease
Passive |Immunity |- |correct |answer |-Abs |produced |in |another |host |(animal |or |human)
-Given |when |child |needs |Abs |faster |than |they |can |produce |them
-Include |immune |globulins
,-Note: |Does |not |confer |lasting |immunity; |child |needs |vaccine |in |future
Diptheria-Tetanus-Pertussis: |DTaP |(IM) |- |correct |answer |-Immunization |for |Diptheria, |
tetanus |and |pertussis.
-5 |doses |given |at: |2mos, |4mos, |6mos, |15-18mos, |and |4-6yrs
Measles-Mumps-Rubella: |MMR |(SQ) |- |correct |answer |-Immunization
-2 |doses |given |at: |12-15mos, |and |4-6yrs
-Given |with |Varicella |or |4 |weeks |apart
-Can |be |given |in |same |syringe |as |Varicella
Varicella |- |correct |answer |-Live |attenuated |vaccine |for |chickenpox
-2 |doses |given |at: |12-15mos, |and |4-6yrs
-Can |be |given |in |same |syringe |as |MMR
Haemophilus |influenzae |type |B |(IM) |- |correct |answer |-Immunization |for |a |certain |strain |of |
flu |causing |bacteria
-4 |doses |given |at: |2mos, |4mos, |6mos |and |15-18mos
Polio: |(IM |or |SubQ) |- |correct |answer |-Immunzation |for |Polio
-4 |doses |given |at: |2mos, |4mos, |6mos, |and |4-6yrs
Meningococcal: |MenACWY-D |(IM) |- |correct |answer |-Immunization |for |meningitis
-1 |dose |given |at: |11-12yrs
-Not |recommended |for |pts |with |hx |of |Guillian-Barre |syndrome
When |should |children |start |getting |the |Flu |shot? |- |correct |answer |6mos |or |higher
Herd |Immunity |- |correct |answer |The |protection |provided |by |a |large |group |of |persons |who |
have |immunity |to |a |disease |and |indirectly |protect |others |without |immunity |by |reducing |
the |risk |for |exposure |and |infection
How |have |vaccine-treatable |diseases |made |a |rise |in |the |US? |- |correct |answer |Through |
unvaccinated |travelers |who |become |infected |in |foreign |countries |and |bring |diseases |back |
to |the |US
Thimerosal |- |correct |answer |A |bacteriostatic |agent |containing |mercury |once |used |to |
sterilize |vaccines. |It |is |no |longer |used |in |any |vaccines |except |the |flu |vaccine.
Which |vaccine |contains |Thimerosal? |- |correct |answer |The |flu |vaccine. |However |there |is |a |
thimerosal |free |vaccine |available |for |children
What |are |some |barriers |to |Immunization |compliance? |- |correct |answer |-Economic |factors
,-Limited |access |to |healthcare
-Lack |of |convenient |primary |care
-Parental |knowledge |deficit
-Religious/cultural |prohibitions
-Transportation |problems
Where |are |effective |places |to |give |immunizations? |- |correct |answer |Healthcare |visits, |
hospitalizations, |and |schools. |Because |kids |are |already |there
Can |vaccines |be |given |when |a |child |is |sick? |- |correct |answer |Yes |they |can |be |administered |
when |children |have |mild |illness
What |strategies |can |increase |the |rate |of |immunization |compliance? |- |correct |answer |
Administering |vaccines |in |effective |places^^, |providing |parents |with |information, |and |
taking |legal |issues |into |consideration
What |must |be |attained |before |a |vaccine |can |be |administered? |- |correct |answer |Informed |
consent
Required |documentation |for |Vaccines |- |correct |answer |-Date |of |administration
-Vaccine |given
-Manufacturer
-Lot |number |and |expiration |date |of |vaccine
-Site |and |route |of |administration
-Name, |title, |and |address |of |person |administering |vaccine
Acetaminophen |- |correct |answer |-10-15 |mg/kg/dose |every |4-6 |hrs
-Not |to |exceed |5 |doses |in |24hrs
-Daily |max |for |children |12 |and |older |is |4g
-Used |for |fever
Ibuprofen |- |correct |answer |-4-10 |mg/kg/dose |every |6-8 |hrs |
-Not |to |exceed |40mg/kg |daily
When |you |enter |a |child |room... |- |correct |answer |Don't |do |something |right |away. |Allow |
them |time |to |watch |you |so |they |get |less |nervous
WIIPES |- |correct |answer |-Wash |Hands
-Introduce |yourself
, -Identify |pt
-Privacy: |pull |curtain, |close |door
-Environment: |assess |what |you |see |
-Safety: |side |rails |up, |bed |down, |call |light |in |reach
OLDCARTS |- |correct |answer |-Onset: |when |did |it |start? |Graduallly |or |quickly?
-Location: |where |is |it? |generalized |or |localized?
-Duration: |Is |it |continuous? |Episodic?
-Cause: |
-Actions: |what |actions |provoke |or |alleviate |it?
-Radiation: |does |the |pain |radiate |anywhere?
-Treatment: |Current |or |previous |treatments? |Response |to |them?
-Severity: |what |are |its |effects |on |daily |living?
What |psychosocial |data |should |you |gather |upon |assessment? |- |correct |answer |-Family |
composition
-Financial |resources
-Home |environment, |housing
-School |or |childcare
-Daily |routines
Clear |communication |- |correct |answer |-Is |essential
-Always |be |honest
-Use |interpreters |when |neccessary
Strategies |to |build |rapport |- |correct |answer |-Introduce |self
-Explain |purpose |of |interview
-Provide |privacy
-Ask |open-ended |questions
-Ask |one |question |at |a |time
-Involve |child |if |age |appropriate
Active |Listening |includes: |- |correct |answer |-Avoidance |of |questions
EXAM 1 VERIFIED
QUESTIONS AND ANSWERS
UPDATED 2024/2025
What |risk |factors |contribute |to |children's |increased |risk |for |disease? |- |correct |answer |-
Immature |immune |system
-Minimal |prior |exposure |to |disease
-Poor |hygiene
| > |Poor |health |and |immunodeficiency |in |some |cases
What |are |some |groups |at |higher |risk |for |infection |- |correct |answer |Children, |elderly, |
premature |babies, |low |income |families
Where |do |low |income |families |typically |live? |- |correct |answer |Urban |areas
What |are |common |routes |for |children |to |become |infected? |- |correct |answer |-Fecal-oral
-Respiratory
How |can |we |prevent |the |spread |of |disease? |- |correct |answer |-Hand |washing
-Standard |precautions
-Avoid |infected |individuals
-Promote |immunizations
-Decrease/eliminate |pathogens
Active |Immunity |- |correct |answer |Antibody |production |stimulated |by |vaccine |antigens |
without |causing |clinical |disease
Passive |Immunity |- |correct |answer |-Abs |produced |in |another |host |(animal |or |human)
-Given |when |child |needs |Abs |faster |than |they |can |produce |them
-Include |immune |globulins
,-Note: |Does |not |confer |lasting |immunity; |child |needs |vaccine |in |future
Diptheria-Tetanus-Pertussis: |DTaP |(IM) |- |correct |answer |-Immunization |for |Diptheria, |
tetanus |and |pertussis.
-5 |doses |given |at: |2mos, |4mos, |6mos, |15-18mos, |and |4-6yrs
Measles-Mumps-Rubella: |MMR |(SQ) |- |correct |answer |-Immunization
-2 |doses |given |at: |12-15mos, |and |4-6yrs
-Given |with |Varicella |or |4 |weeks |apart
-Can |be |given |in |same |syringe |as |Varicella
Varicella |- |correct |answer |-Live |attenuated |vaccine |for |chickenpox
-2 |doses |given |at: |12-15mos, |and |4-6yrs
-Can |be |given |in |same |syringe |as |MMR
Haemophilus |influenzae |type |B |(IM) |- |correct |answer |-Immunization |for |a |certain |strain |of |
flu |causing |bacteria
-4 |doses |given |at: |2mos, |4mos, |6mos |and |15-18mos
Polio: |(IM |or |SubQ) |- |correct |answer |-Immunzation |for |Polio
-4 |doses |given |at: |2mos, |4mos, |6mos, |and |4-6yrs
Meningococcal: |MenACWY-D |(IM) |- |correct |answer |-Immunization |for |meningitis
-1 |dose |given |at: |11-12yrs
-Not |recommended |for |pts |with |hx |of |Guillian-Barre |syndrome
When |should |children |start |getting |the |Flu |shot? |- |correct |answer |6mos |or |higher
Herd |Immunity |- |correct |answer |The |protection |provided |by |a |large |group |of |persons |who |
have |immunity |to |a |disease |and |indirectly |protect |others |without |immunity |by |reducing |
the |risk |for |exposure |and |infection
How |have |vaccine-treatable |diseases |made |a |rise |in |the |US? |- |correct |answer |Through |
unvaccinated |travelers |who |become |infected |in |foreign |countries |and |bring |diseases |back |
to |the |US
Thimerosal |- |correct |answer |A |bacteriostatic |agent |containing |mercury |once |used |to |
sterilize |vaccines. |It |is |no |longer |used |in |any |vaccines |except |the |flu |vaccine.
Which |vaccine |contains |Thimerosal? |- |correct |answer |The |flu |vaccine. |However |there |is |a |
thimerosal |free |vaccine |available |for |children
What |are |some |barriers |to |Immunization |compliance? |- |correct |answer |-Economic |factors
,-Limited |access |to |healthcare
-Lack |of |convenient |primary |care
-Parental |knowledge |deficit
-Religious/cultural |prohibitions
-Transportation |problems
Where |are |effective |places |to |give |immunizations? |- |correct |answer |Healthcare |visits, |
hospitalizations, |and |schools. |Because |kids |are |already |there
Can |vaccines |be |given |when |a |child |is |sick? |- |correct |answer |Yes |they |can |be |administered |
when |children |have |mild |illness
What |strategies |can |increase |the |rate |of |immunization |compliance? |- |correct |answer |
Administering |vaccines |in |effective |places^^, |providing |parents |with |information, |and |
taking |legal |issues |into |consideration
What |must |be |attained |before |a |vaccine |can |be |administered? |- |correct |answer |Informed |
consent
Required |documentation |for |Vaccines |- |correct |answer |-Date |of |administration
-Vaccine |given
-Manufacturer
-Lot |number |and |expiration |date |of |vaccine
-Site |and |route |of |administration
-Name, |title, |and |address |of |person |administering |vaccine
Acetaminophen |- |correct |answer |-10-15 |mg/kg/dose |every |4-6 |hrs
-Not |to |exceed |5 |doses |in |24hrs
-Daily |max |for |children |12 |and |older |is |4g
-Used |for |fever
Ibuprofen |- |correct |answer |-4-10 |mg/kg/dose |every |6-8 |hrs |
-Not |to |exceed |40mg/kg |daily
When |you |enter |a |child |room... |- |correct |answer |Don't |do |something |right |away. |Allow |
them |time |to |watch |you |so |they |get |less |nervous
WIIPES |- |correct |answer |-Wash |Hands
-Introduce |yourself
, -Identify |pt
-Privacy: |pull |curtain, |close |door
-Environment: |assess |what |you |see |
-Safety: |side |rails |up, |bed |down, |call |light |in |reach
OLDCARTS |- |correct |answer |-Onset: |when |did |it |start? |Graduallly |or |quickly?
-Location: |where |is |it? |generalized |or |localized?
-Duration: |Is |it |continuous? |Episodic?
-Cause: |
-Actions: |what |actions |provoke |or |alleviate |it?
-Radiation: |does |the |pain |radiate |anywhere?
-Treatment: |Current |or |previous |treatments? |Response |to |them?
-Severity: |what |are |its |effects |on |daily |living?
What |psychosocial |data |should |you |gather |upon |assessment? |- |correct |answer |-Family |
composition
-Financial |resources
-Home |environment, |housing
-School |or |childcare
-Daily |routines
Clear |communication |- |correct |answer |-Is |essential
-Always |be |honest
-Use |interpreters |when |neccessary
Strategies |to |build |rapport |- |correct |answer |-Introduce |self
-Explain |purpose |of |interview
-Provide |privacy
-Ask |open-ended |questions
-Ask |one |question |at |a |time
-Involve |child |if |age |appropriate
Active |Listening |includes: |- |correct |answer |-Avoidance |of |questions
