Solved (A Pass) 2025 Update
Health Promotion - Answers -✔✔ 1. Utilize the nursing process and a broad knowledge
base to maximize health
2. Utilize concepts of health promotion to educate patients across the lifespan.
The Human body is constantly threatened by: - Answers -✔✔ 1. Foreign substances
2. Infectious agents
3. Abnormal cells
The functions of immune system are what? - Answers -✔✔ 1. Protect body from foreign
antigens
2. Identify, destroy potentially harmful cells
3. Remove cellular debris
Pediatric considerations with immunity - Answers -✔✔ Immune system development is
influenced early in utero experiences, and then by environmental exposures after birth,
and other factors.
A child's igG before birth - Answers -✔✔ Only immunoglobulin crosses placenta
Maternal IgG disappears by what age in children? - Answers -✔✔ Maternal IgG
disappears by 6-8 months
Child's IgG increases gradually until what age? - Answers -✔✔ Child's IgG increases
gradually until 7-8 years
When does cell-mediated immunity achieved? - Answers -✔✔ Cell-mediated immunity
achieves full function early in life
Who is most prone to infection? - Answers -✔✔ Newborns most prone to infection
What can help protect a newborn? - Answers -✔✔ Ingesting human milk can provide
protection
What are some normal changes associated with aging? - Answers -✔✔ 1. Immune
function declines
2. External factors
3. Nutrition
4. Effects of exposure to toxins
,What are some Internal factors that are considered normal changes associated with
aging? - Answers -✔✔ 1. Genetics
2. Neurological, endocrine system functioning
3. Chronic, prior illnesses
4. Individual variations
5. Decrease in immune response
6. Lowered resistance to infection
7. Poor response to immunizations
8. Autoantibodies more common
Healthy People 2020 goals for children by 35 months old? - Answers -✔✔ Adequately
immunize 80-90% of US children by 35 months old
Healthy People 2020 goals for children in Kindergarten? - Answers -✔✔ Adequately
immunize 95% of children in Kindergarten
Healthy People 2020 goals for adolescents? - Answers -✔✔ Adequately immunize 80-
90% of adolescents
Healthy People 2020 goals for immunization registry? - Answers -✔✔ Have 95% of
children younger than 6 years of age participating in a fully operational, population-
based immunization registry
What do Vaccines prevent? - Answers -✔✔ Vaccines to prevent infectious diseases
Modifiable Risk Factors include? - Answers -✔✔ 1. Nutrition
2. Weight
3. Stress
4. Alcohol, drug and cigarette use
5. Intravenous drug use and risky sexual behaviors
Modifiable Risk Factors for nutrition? - Answers -✔✔ Introduction to solid food too early
can cause food allergies.
Modifiable Risk Factors for weight? - Answers -✔✔ Neither being overweight or
underweight is good for the immune system.
Modifiable Risk Factors for stress? - Answers -✔✔ Stress can cause a heightened
endocrine response that will suppress the immune system.
Modifiable Risk Factors for Alcohol, drug and cigarette use? - Answers -✔✔ Bad habits
can cause a trigger to autoimmune disorders.
,Modifiable Risk Factors for Intravenous drug use and risky sexual behaviors? - Answers
-✔✔ Having multiple partners or being an IV drug user puts one at risk for STI and HIV
infections.
Immunizations: - Answers -✔✔ Introduce antigen into body, allowing immunity to
develop
Active immunity: - Answers -✔✔ An active immunity, an antigen is given in the form of a
vaccine.
Passive immunity: - Answers -✔✔ Occurs when preformed antibodies are transferred or
donated from one person to another.
Types of vaccines? - Answers -✔✔ 1. Killed virus
2. Toxoid
3. Live virus
4. Recombinant
5. Conjugated
Killed virus includes? - Answers -✔✔ polio or flu
Toxoid: - Answers -✔✔ treated with heat like tetanus
Live virus includes? - Answers -✔✔ MMR or varicella
Recombinant: - Answers -✔✔ 0Hp B or pertussis
Conjugated: - Answers -✔✔ combined form Like Hep A and B combined
Responses to vaccines include what? - Answers -✔✔ 1. Local reaction
2. Systemic reaction
3. Local allergic reactions
4. Life-threatening allergic reaction
Local response to the vaccine can be... - Answers -✔✔ redness
Systemic response to the vaccine can be... - Answers -✔✔ fever or aching joints
Local allergic display to the vaccine can be... - Answers -✔✔ a rash or wheal
Life-threatening allergic reaction to the vaccine is what? - Answers -✔✔ anaphylaxis
Immunization schedule - Answers -✔✔ Specific ages and intervals
, Immunization with Children - Answers -✔✔ Transplacental immunity decreases
Immunization with Adults - Answers -✔✔ May need boosters of childhood vaccines
how often are Immunization schedules updated? - Answers -✔✔ Schedule updated
annually
when should you Assess immunization status? - Answers -✔✔ Assess immunization
status at every visit
Contraindications with immunization can include what? - Answers -✔✔ 1. Acute illness
with high fever
2. Hypersensitivity reaction
3. Recent immunoglobulin therapy
4. Cancer treatments
5. Pregnancy
What are some concerns about immunizations with parents? - Answers -✔✔ 1.
Concerns about overloading immune system at young age
2. Doubts about efficacy
3. Lack of confidence in immunization recommendations, vaccine testing
4. Belief in "herd immunity"
5. Fear of side effects
6. Previous negative vaccine reactions in family members, friends
7. Belief that vaccines compromise immune system
Healthcare providers' roles with immuizations include what? - Answers -✔✔ 1.
Consistent message about value of vaccines
2. Answer parents' questions
3. Give VISs to parents/guardians
4. Discuss risks, benefits of vaccines
5. Obtain written consent before administering vaccine
6. Document informed refusal
7. Parents have the right to refuse immunizations
Assessments with immunization - Answers -✔✔ Integrated throughout health history,
physical examination
Nursing Assessment with immunization - Answers -✔✔ - Health history
1. Review biographical data
2. Family history
3. Provide privacy
4. Individualize terms used
Physical examination with immunization - Answers -✔✔ 1. General appearance