Primary Prevention NUR 511
Active immunity - correct answer-resistance developed in response to an antigen (infecting
agent or vaccine) and usually characterized by the presence of an antibody produced by the
host
Active immunity examples - correct answer-rubella immunity=circulating IGG against rubella
person has native disease=circulating IGG=immunity
person receives the vaccination=circulating IGG=immunity
Active immunity onset and duration of protection - correct answer-within one month and lasts
years or lifelong
adjusting insulin therapy to enhance glycemic in a T2DM pt - correct answer-tertiary
administering the influenza vaccine - correct answer-primary
Artificial active immunity - correct answer-acquired through immunizations
Artificial passive immunity - correct answer-antibodies (immunoglobulins) are harvested from
another who is immune to the disease and given directly to the pt
Asplenia, SCD, HIV, chemotherapy may require extra doses - correct answer-Haemophilus
influenza Type B (HiB)
At what interval must live vaccines be given? - correct answer-together or 28 days apart
Best way to protect babies from pertussis. - correct answer-Everyone get immunized at least
one month before baby's birth!
Cervarix (HPV2: types 16 and 18) - correct answer-Females only because it helps to prevent
cervical cancer only
Conjugated Polysaccharide (PCV 13 or Prevnar 13) has a better response in what age
group? - correct answer-infants
Conjugated Polysaccharide (PCV 13 or Prevnar 13) is recommended to give to children less
than - correct answer-5 years
Conjugated Polysaccharide (PCV 13 or Prevnar 13) may reduce what? - correct
answer-carriage and spread of disease (kids are high risk for spread of disease...boogers,
licking)
, Counseling about reducing the risk for sexually transmitted infections to a group of
adolescents - correct answer-primary
decrease in infection with HiB vaccine - correct answer-99%
Diseases that we can administer passive post-exposure immunity - correct answer-hep A,
hep B, varicella
ensuring adequate illumination at home - correct answer-primary
Example of primary prevention - correct answer-Counseling for safety, injury and disease
prevention
Examples of primary prevention - correct answer-screenings: BP check, mammography,
colonoscopy
Examples of tertiary prevention - correct answer-in established disease: adjusting therapy to
avoid further target organ damage TOD
Fatality rates in children under 5 are 5-10% in diptheria. What can this be attributed to? -
correct answer-myocarditis
Gardasil (HPV4: types 6, 11, 16 and 18) - correct answer-Females: help prevent cancer of
the cervix, vagina, and vulva; genital warts, and anal cancer
Males: help prevent genital warts and anal cancer
Generally found under the foreskin of the uncircumcised penis, and on the shaft of the
circumcised penis, anus and scrotum - correct answer-genital warts
Goal of primary prevention - correct answer-intervene at the lowest level possible
Goal of primary prevention - correct answer-most cost effective form of healthcare
Goal of primary prevention - correct answer-preventing the health problem
Haemophilus influenza Type B (HiB) - correct answer-most virulent, Spread via respiratory
droplets
Bacterial meningitis in < 5 years old
Otitis media, pneumonia, acute conjunctivitis
Hepatitis A - correct answer-Transmitted by fecal-oral route
Can be mild to causing death
Necrosis of periportal liver cells with infiltration
Jaundice is common
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