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Nursing Pharmacology · NCLEX-RN

Nursing Pharmacology: Immunizations and Vaccines

Vaccine schedules and administration nursing considerations, including contraindications and adverse reaction monitoring.

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What is a vaccine called that uses a weakened but still-living form of a pathogen?
A live attenuated vaccine.
What is a vaccine called that uses a killed or inactivated pathogen?
An inactivated vaccine.
Is the MMR vaccine live attenuated or inactivated?
Live attenuated.
Is the varicella (chickenpox) vaccine live attenuated or inactivated?
Live attenuated.
Is the rotavirus vaccine live attenuated or inactivated?
Live attenuated.
Is the intranasal influenza vaccine (LAIV) live attenuated or inactivated?
Live attenuated.
Is the standard injectable influenza vaccine live attenuated or inactivated?
Inactivated.
Is the Tdap vaccine live attenuated or inactivated?
Inactivated (toxoid-based).
Is the HPV vaccine live attenuated or inactivated?
Inactivated (recombinant).
Is the hepatitis B vaccine live attenuated or inactivated?
Inactivated (recombinant).
Is the shingles vaccine Shingrix live attenuated or inactivated?
Inactivated (recombinant).
Why are live attenuated vaccines generally avoided during pregnancy?
Risk that the live organism could harm the developing fetus.
Why are live attenuated vaccines contraindicated in immunocompromised patients?
The weakened immune system may not control the live organism, risking actual infection.
What prior reaction to a vaccine is an absolute contraindication to giving that vaccine again?
A history of anaphylaxis to the vaccine or one of its components.
Is a mild illness with a low-grade fever a valid reason to postpone a scheduled vaccine?
No, mild illness is not a contraindication.

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