Quantum Units Education®

1. The foundation of medication administration is application of the “Rights of Medication Administration,” which should be applied to each encounter when vaccines are administered, and include:

2. All patients should be screened for contraindications and precautions prior to administering any vaccine, even if the patient has previously received that vaccine.

3. The prophylactic use of antipyretics before or at the time of vaccination is recommended.

4. Research supports the belief that children are less fearful and experience less pain when receiving an injection if they are lying down rather than sitting up.

5. The Advisory Committee on Immunization Practices recommends that the patient is observed while seated or lying down for _____ minutes after vaccination.

6. Sweet tasting liquids are an analgesic for infants up to what age?

7. Use of shorter needles has been associated with less redness or swelling than occurs with longer needles.

8. Vaccines should be reconstituted according to manufacturer guidelines using only the specific diluent supplied by the manufacturer for that vaccine, as each diluent is specific to the corresponding vaccine in all of the following, except:

9. Whenever solution and container permit, the vaccine should be visually inspected for which of the following?

10. ACIP does not recommend readministering a dose of rotavirus vaccine to an infant who regurgitates, spits out, or vomits during or after administration.

11. A 1-inch needle should be used for which of the following?

12. During an intramuscular injection, the needle should be inserted fully into the muscle at a 45 degree angle.

13. When vaccinating persons with bleeding disorders, a 23-gauge or finer needle should be used along with which of the following?

14. Which of the following is a sign or symptom of anaphylaxis that will usually begin within minutes of vaccination?

15. Although there is no national law, it is important to document when parents or adult patients refuse vaccine despite the immunization providers’ recommendation.