NR 565 |2024-2025 questions and
verified answers/accurate graded A+
Who should receive Tdap vaccination? - Ans>>Adults in close contact with infants healthcare workers
Contraindication for Tdap vaccine - Ans>>Severe allergic reaction to previous dose, or hx of
encephalopathy within 7 days of vaccine
Varicella vaccine contraindications - Ans>>Hx of anaphylaxis with previous dose, allergy to gelatin or
neomycin
Hepatitis B vaccine contraindications - Ans>>Previous rxn to vaccine, allergy to yeast and neomycin
Examples of attenuated vaccines - Ans>>measles, mumps, rubella, chickenpox, yellow fever, rotavirus
examples of live vaccines - Ans>>MMR, varicella, rotavirus, influenza
examples of toxoid vaccines - Ans>>Diphtheria, tetanus, pertussis,
Examples of inactive viral antigen vaccine - Ans>>Poliovirus (SALK), Hep A, Hep B, influenza
What are the types of immunity? - Ans>>active, passive, and herd
Define vaccine - Ans>>suspension of organisms or fractions of organisms that induce immunity
Post exposure prophylaxis for Rabies - Ans>>human rabies immunoglobulin + human diploid cell vaccine
on days 0,3,7,14
Patient teaching after vaccination - Ans>>Redness and swelling can occur at site, mild fever or fatigue
Who can receive attenuated influenza vaccine (Flumist) - Ans>>individuals >2yo an d less than 50. non
pregnant, and those who are not immunocompromised
Pantoprazole dosing - Ans>>40 - 80 mg ORAL or IV Qday
Metronidazole (Flagyl) dosing - Ans>>250 mg 4x day or 500mg BID for 7-14 days
Ondansetron (Zofran) dosing - Ans>>-8/24mg po 30 minutes prior to chemo initiation
-8/16 mg po Q12h for 1/2 days after chemo administration
-TOP 200
Albuterol Sulfate (inhalation) dosage - Ans>>2 inhalations
What labs are used to diagnose thyroid disease - Ans>>TSH T3 T4
When should you recheck labs after starting levothyroxine - Ans>>6-8 weeks until euthyroid state
, signs and symptoms of hypothyroidism - Ans>>Thin, dry hair
Thick, brittle nails
constipation
bradycardia
Goiter
PeriOrbital edema
cold intolerance
weight gain
signs and symptoms hyperthyroidism - Ans>>1. heat intolerance (high heat production)
2. weight loss, increased appetite
3. hyperactivity
4. diarrhea
5. high reflexes
6. pretibial myxedema (Graves)
7. warm moist skin; fine hair
8. chest pain, palpitations, arrhythmias, increased β-adrenergic receptors
Treatment of thyroid storm - Ans>>- Propylthiouracil (preferred) or methimazole
- iodine-potassium solutions
- glucocorticoids
- beta blockers
Result of not treating hypothyroidism during pregnancy - Ans>>Permanent neuro-psychological deficits
in the child. Decrease IQ/neuropsychological function. First trimester.
Treatment of hyperthyroidism - Ans>>- Radioactive iodine (I131) works by destroying the thyroid gland
- Surgery to remove all or part of the thyroid gland
- Lifelong thyroid hormone replacement will be needed
Levothyroxine interactions - Ans>>anticoagulants
antacids
sucralfate
turnips, cabbage, strawberries, peaches, spinach, peas, radishes