Student Name
Chamberlain University
NR-442 Community Health Nursing
Prof. Name:
Date
Annie Omoniyi, a nursing student with ID D41079059, completed a quiz in the NR 442 Community/Public Health Nursing course, focusing on vaccine administration. This assessment tested knowledge on vaccine processes, precautions, and best practices.
The quiz included questions about the “Rights” of medication administration adapted for vaccines. Options included the right patient, right vaccine with the correct diluent, right documentation, right dosage, right route and needle length, right time, right clinic, and right site. One key question asked which option was not included in the “Rights,” with the correct answer being the “right clinic.”
Another critical focus was the importance of screening for contraindications and precautions during every vaccination visit—not just during the initial visit or for young children. Similarly, questions clarified updates to immunization schedules, emphasizing that these are revised not only when new vaccines are introduced but also when new factors emerge. The childhood immunization schedule spans from birth through 18 years, ensuring comprehensive protection during critical developmental stages.
After-care instructions for vaccinations were highlighted, with emphasis on providing guidance about when to seek medical attention and noting possible side effects such as fever, injection site pain, or fussiness. Observing patients for 15 minutes post-vaccination is recommended by the Advisory Committee on Immunization Practices (ACIP) to monitor adverse reactions. Vaccine Information Statements (VISs) must also be provided every time a vaccine dose is administered, ensuring informed consent.
Strategies to reduce pain during injections were reviewed, such as breastfeeding infants, distraction techniques, and avoiding aspiration during injections. Questions also tested knowledge on vaccine preparation, such as verifying expiration dates and using sterile equipment. The quiz addressed administration routes, including oral administration for rotavirus vaccines and intramuscular injections at a 90-degree angle or subcutaneous injections at 45 degrees into fatty tissue.
Additionally, documentation requirements were covered, highlighting federal laws mandating vaccine lot numbers, manufacturers, administration dates, and VIS edition dates. Best practices to prevent errors include checking expiration dates and screening for contraindications before each dose. Finally, a scenario about administering multiple vaccines to an 11-year-old reinforced the importance of assessing immunization history, contraindications, and preparation techniques.
Question | Options | Correct Answer |
---|---|---|
1. Which of the following is NOT one of the “Rights” of medication administration adapted for vaccines? | a. Right patient b. Right vaccine with diluent c. Right documentation d. Right clinic | d. Right clinic |
2. Patients should be screened for contraindications and precautions: | a. At the first visit b. Only for young children c. Every vaccine dose | c. Every vaccine dose |
3. Immunization schedules are updated only with new vaccines. | a. True b. False | b. False |
4. The childhood immunization schedule is for children: | a. Birth to 5 years b. 2 to 12 years c. Birth to 18 years d. 5 to 12 years | c. Birth to 18 years |
5. After-care instructions should include information on: | a. When to seek care b. Fever c. Injection pain d. Fussiness e. All of the above | e. All of the above |
6. ACIP recommends providers observe patients for: | a. 15 minutes b. 30 minutes c. 10 minutes | a. 15 minutes |
7. Vaccine Information Statements (VISs): | a. Only at first dose b. Each dose c. Only in outbreaks d. At provider’s discretion | b. Each dose |
8. Strategies to decrease injection pain include: | a. Breastfeeding b. Distraction c. Avoid aspiration d. All of the above | d. All of the above |
9. Vaccine preparation does NOT include: | a. Ordering vaccines b. Checking expiration dates c. Selecting needle size | a. Ordering vaccines |
10. Rotavirus vaccine is administered by the ___ route: | a. IM b. SC c. Intranasal d. Oral | d. Oral |
Centers for Disease Control and Prevention. (2023). Vaccine information for healthcare professionals. Retrieved from https://www.cdc.gov/vaccines/hcp/admin/downloads/vaccine-administration.pdf
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