question

A nurse is receiving post-exposure prophylaxis for hepatitis B. What would the nurse most likely receive?

answer

Immune globulin

question

A client bitten by a copperhead snake will benefit the most if the antivenin is administered within how long after exposure?

answer

4 hours

question

The nurse has just administered the measles, mumps, and rubella vaccine to a female client. The nurse instructs the woman to avoid becoming pregnant for how long?

answer

at least 3 months

question

A nurse is educating a group of nursing students about the different types of vaccines. Which should the nurse mention as a killed virus vaccine?

answer

influenza vaccine

question

A nurse is educating a group of nursing students about the contraindications of human immune globulin. Which would the nurse include? Select all that apply.

answer

preexisting renal disease age more than 65 years diabetes mellitus

question

A mother brings her 18-month-old son into the clinic for his diphtheria, tetanus, and pertussis vaccine. The child has a runny nose and a fever of 102.4º F and is coughing. What should the nurse do?

answer

Instruct the mother to bring the child back to the clinic for the immunization when he is free of allergic or cold-like symptoms.

question

A clinic nurse is administering vaccines at well-baby check-ups. The nurse knows that before administering a DTP vaccine, the nurse should check what vital sign?

answer

Temperature

question

A group of nursing students are presenting information on the hepatitis B vaccine. What would the students prepare to tell others about the recommended population?

answer

Infants and people at risk for contracting the disease

question

A young mother asks the clinic nurse about the "chickenpox" vaccine. The mother states that she and her husband have both had chickenpox, but that she wants to protect her child if she can. What should the nurse tell the mother about the recommendation for the chickenpox vaccine?

answer

It is recommended for all children who have not been exposed to the varicella virus.

question

An infant is being administered an immunization. Which statement provides an accurate description of an immunization?

answer

It is the administration of an antigen for an antibody response.

question

When providing client teaching to parents regarding measles, mumps, and rubella vaccine administration, which is most important regarding the schedule for administration?

answer

It is administered at 12 to 15 months.

question

A new nurse is preparing to administer Zovirax ointment to a client who has been diagnosed with varicella zoster. The nurse knows that which administration instruction is important for the client to follow?

answer

Wear gloves when applying the ointment.

question

What is the difference between toxoids and vaccines?

answer

Toxoids always require occasional boosters

question

A mother brings her 18-month-old into the clinic for a well-baby check-up. A nurse will administer measles, mumps, and rubella vaccine (MMR) to the 18-month-old. What dosage will the nurse administer?

answer

0.5 mL IM

question

he difference between toxoids and vaccines is:

answer

Vaccines induce antibody formation, which prevent the disease or cause a very mild form. Many vaccines produce long-lasting immunity. Toxoids are bacterial toxins or products modified to destroy toxicity. Toxoid immunization is not permanent; scheduled repeat doses (boosters) maintain immunity.

question

The administration of immunizations to a client is a form of what type of immunity?

answer

Artificial active immunity

question

A child 10 years of age was bitten on the left hand by a Mojave rattlesnake one hour ago, and his left hand, arm, and chest are swollen. When providing information about the treatment to the parents of the child, the nurse would include which of the following statements?

answer

"Antivenins are most effective in treating snake bites when the drug is administered in the first four hours after the bite."

question

A client is undergoing a yearly physical. While discussing immunizations, the client states not wanting any immunizations because they can cause diseases. The nurse's best response is:

answer

Immunizing agents are quite safe, and risks of the diseases they prevent are greater than the risks of the vaccines.

question

To prevent chickenpox, a client would receive a viral vaccine.

answer

True

question

Booster doses are given to help further stimulate antibody formation after a vaccine is initially given.

answer

True

question

If a nurse is administering immune globulin to a client in the health care provider's office, the nurse would monitor the client for hypersensitivity reactions for how long after administering the drug?

answer

30 minutes

question

A client with a history of multiple drug allergies is scheduled to receive a vaccination against chickenpox. Which would the nurse expect to be completed before the vaccine is administered?

answer

skin test

question

A nurse is teaching a group of clients about immunizations . What benefit of immunization should the nurse describe?

answer

They provide the person with active immunity.

question

A client, aged 72, is brought to the clinic by her daughter. The daughter asks how often her mother should receive the influenza vaccine. What would be the nurse's best response?

answer

"Your mother needs the influenza vaccine yearly."

question

It is important for the nurse to stay current with the recommendations for immunizations. Which source is most accurate regarding immunization guidelines?

answer

Centers for Disease Control and Prevention

question

When instructing the parents of a child who has received immunization in the vastus lateralis, which reaction is most common in the days after the administration?

answer

tenderness and redness at the site

question

A 70-year-old client is seen in the family practice clinic. Which vaccine should be administered to prevent herpes zoster?

answer

zoster vaccine

question

When providing a health promotion presentation to a group of seniors, how often should the nurse instruct the senior group to obtain influenza vaccines?

answer

yearly

question

An order for a PCR confirms that for a client that the painful rash on her trunk is caused by herpes zoster (shingles). The nurse explains that the painful rash is called shingles and is caused later in life by which of the following infections?

answer

Chickenpox

question

The nurse is working with an 18-year-old client who recently immigrated and who did not receive childhood immunizations. The client is "catching up" on immunizations and is scheduled to receive a measles, mumps and rubella (MMR) vaccine today. What should the nurse teach the client about potential adverse effects?

answer

"You might feel a bit unwell or get a slight fever after receiving your immunization."

question

The nurse should be prepared to administer an infant's first dose of polio vaccine at what age?

answer

2 months

question

An older adult client has been brought to the clinic by family members who are concerned about the client's risk for developing shingles. The nurse should discuss what possible vaccination?

answer

Zoster vaccine

question

The college health nurse is providing health education for freshmen. Which piece of information about immunizations is applicable to individuals of this age group?

answer

The yearly administration of flu vaccine is recommended.

question

What recommendation concerning vaccinations should the nurse provide a 50-year-old adult?

answer

annual influenza vaccination

question

A school nurse at a large high school is attempting to determine correct vaccine guidelines. What is the best source for current recommendations?

answer

Centers for Disease Control and Prevention

question

The elderly client returns from a health care visit and asks the nurse why another flu shot was necessary this year because the client got one last year. The nurse's best response is:

answer

Each year a new vaccine is developed based on the strains most prevalent.

question

A nurse is providing education to the mother of a child receiving their first immunization. The nurse tells the mother that after the injection it is normal for the child to have:

answer

pain, redness, and swelling at site of injection.

question

A mother has brought her infant to the clinic for the first immunization. What would the nurse be sure to include when providing education for the infant's mother?

answer

Keep a written record of the child's immunizations.

question

The nursing instructor is explaining the best way to assess whether active immunity has developed from the administration of the hepatitis B series. What would the instructor cite as the best assessment method?

answer

Serum antibody levels

question

An immunocompromised client is exposed to hepatitis A. The health care provider orders an injection of immunoglobulin as prophylaxis against the hepatitis A. What adverse effects would the nurse advise the client might occur? (Select all that apply.)

answer

Fever Angioedema Urticaria

question

A public health nurse is responsible for the administration of immunizations. Which guideline regarding anaphylaxis should the nurse adhere to?

answer

The client should be observed for anaphylaxis for 30 minutes after administration.

question

A clinic nurse is administering vaccines during well-baby visits. The nurse knows that before administering a DTP vaccine to a child, the nurse should assess the child's:

answer

temperature.

question

A parent has contacted the nurse and is concerned about media reports of a measles outbreak. The parent's child is 9 months old and is wanting to confirm that the child has been immunized against measles. How should the nurse best respond?

answer

Fifteen months is the youngest age at which the child should be vaccinated

question

Upon which statement should the nurse base his or her response to an older client who questions the need for yearly flu vaccinations?

answer

Each year a new vaccine is developed based on the strains most prevalent.

question

Which response best demonstrates a nurse's understanding of the risk immunizations pose concerning the development of resulting illness?

answer

"Immunizing agents are quite safe, and risks of the diseases they prevent are greater than the risks of the vaccines."

question

An adult client being treated for breast cancer inquired about required vaccinations. What information should the nurse provide to this client?

answer

Avoid all live vaccines.

question

A client about to receive an injection of influenza vaccination should be informed of the possibility of experiencing which short-term adverse effect? Select all that apply.

answer

malaise muscle aches low-grade fever erythema at the injection site

question

The nurse is caring for a 16-year-old client who just received a kidney transplant. Which of the following passive immunity agents would the nurse include in the family teaching session regarding prevention of organ rejection?

answer

Immune globulins

question

When discussing vaccines in class, a student asks the instructor what an antitoxin is? What is an example of an antitoxin?

answer

Passive immunity

question

The nurse at an ambulatory clinic has seen several clients with suspected or confirmed infectious diseases in recent days. Which client is most likely to benefit from the administration of an immune serum.

answer

A client who is known to have contracted hepatitis B from sexual activity

question

A client prescribed prednisone 40 mg daily should be provided what information about immunizations by the nurse?

answer

"You should wait at least 3 months after chemotherapy to obtain a live vaccine immunization."

question

The nurse is preparing to administer a vaccine to a newborn. Before administering the vaccine, the nurse should:

answer

check the infant's temperature.

question

A client is scheduled to receive an immunization. Administration of live vaccine is contraindicated in the client with:

answer

steroid therapy.

question

An male 18 years of age is brought to the clinic by his coach. The football coach tells the nurse that a member of the team has been diagnosed with hepatitis A and that this student was exposed five days ago. What nursing action is indicated after the administration of IGIV?

answer

Observe the student for 30 minutes in the school clinic for hypersensitivity reaction.

question

A client has received a rubella immunization. The client was unaware that she was pregnant. What risk is associated with the administration of the rubella immunization in this client?

answer

risk of birth defects

question

A neonate who weighs 7 lbs, 8 oz kg is prescribed the hepatitis B immune globulin at a dose of 0.06 mL/kg IM. To one decimal place, what dose should the nurse administer?

answer

.2

question

A landscaper has sought care because of a puncture wound to her foot and the provider has prescribed 250 units of the tetanus immune globulin. In preparation for administration, the nurse should:

answer

assess the skin integrity of potential intramuscular injection sites.

question

When teaching new parents about the benefits of adhering to the recommended vaccination schedule for their infant, the nurse should cite protection against which diseases? Select all that apply.

answer

measles varicella poliomyelitis hepatitis B

question

The nurse educator is teaching a class of community leaders about immunologic agents. To minimize the concern regarding adverse effects of vaccinations, the nurse should include which mild reactions in the teaching plan?

answer

Chills and fever

question

The onset of protection after the administration of an immune globulin to a client is rapid but its duration is short, typically which time frame?

answer

1 to 3 months

question

The difference between toxoids and vaccines is:

answer

Vaccines induce antibody formation, which prevent the disease or cause a very mild form. Many vaccines produce long-lasting immunity. Toxoids are bacterial toxins or products modified to destroy toxicity. Toxoid immunization is not permanent; scheduled repeat doses (boosters) maintain immunity.

question

Which would a nurse expect to administer to a client who has not been immunized and has sustained a bite from an animal with rabies?

answer

Immune globulin

question

A client is scheduled to receive an immunization. In which client may the administration of a live vaccine be contraindicated?

answer

client taking steroid therapy

question

A client has presented to the emergency department with a puncture wound suffered a few hours ago while demolishing an old house. The nurse's assessment reveals that the client is not in acute distress. The client's immunization status is unknown. What intervention should the nurse prioritize?

answer

Administering tetanus immune globulin as prescribed

question

he nurse explains the purpose of vaccines is to promote what? Select all that apply.

answer

Active immunity Lifetime immunity Activation of the immune system

question

The nurse is caring for a 30-year-old woman who came to her gynecologist today to receive a Gardasil injection, stating that she believes that she may have genital warts. What should the nurse teach this client?

answer

"The drug is only effective if administered before exposure to human papillomavirus (HPV)."

question

A primiparous woman tells the nurse that she and her partner are highly reluctant to have their infant vaccinated, stating, "We've read that vaccines can potentially cause a lot of harm, so we're not sure we want to take that risk." How should the nurse respond to this family's concerns?

answer

"Vaccinations are not without some risks, but these are far exceeded by the potential benefits."

question

A female health care worker has received her annual influenza vaccination and has remained at the clinic after administration so that the nurse may observe for adverse reactions. The worker reports pain at the site of IM injection. What should the nurse recommend?

answer

acetaminophen

question

When describing cell-mediated immunity, a nurse would explain that this type of immunity depends on which response or action?

answer

the action of T lymphocytes

question

The administration of immune globulins or antivenins to a client is a form of what type of immunity?

answer

passive immunity

question

When educating clients on the immune system, the nurse identifies which white blood cells to be involved in cell-mediated immunity (CMI) along with T lymphocytes?

answer

macrophages

question

The nursing instructor is discussing immunity with the clinical group. What statement would the instructor make that would be an accurate statement concerning immunity?

answer

Passive immunity is limited.

question

The nursing students are learning about childhood vaccinations. What would they learn is the recommended childhood and adolescent immunization schedule for measles, mumps, and rubella (MMR)?

answer

Between 12 and 15 months and between 4 and 6 years

question

The nurse is teaching a course to students about immunologic agents. In order for the students to understand active immunity, the nurse explains that there are agents that provide active immunity. Which is an active immunity agent?

answer

Haemophilus influenzae type B conjugate

question

A 45-year-old female client is being seen at the oncology clinic for a two-year follow up for cancer. Within the past two days, the client was exposed to hepatitis A and requests immune globulin prophylaxis. The nurse checks the electronic health record and discovers the client has had extensive immunosuppressive drug therapy in the past. The nurse knows that the client's history guides the nurse to take which of the following actions?

answer

Teach the client that the administration of immune globulin is contraindicated for clients with a history of immunosuppressive drug therapy and leukemia.

question

The nurse is assigned to perform telephone triage for the clinic and receives a call from a young mother whose 6-month-old baby received her third diphtheria-pertussis-tetanus immunization that morning. The mother reports the baby's temperature is 99.8° axillary, the site of injection is "a little red," and the baby is irritable. After checking the standing orders provided by the pediatrician, what teaching would the nurse provide this mother? Select all that apply.

answer

"These are common adverse effects reported after immunizations." "Apply a warm moist compress to the baby's leg." "Symptoms should subside within 2 to 3 days."

question

The school nurse is addressing a parents' group and is discussing an upcoming campaign of human papillomavirus (HPV) vaccination. What should the nurse teach this group of parents?

answer

HPV vaccination is recommended for both boys and girls

question

Middle-aged adults and health care workers should receive which collection of immunizations?

answer

tetanus-diphtheria-pertussis, hepatitis B vaccine once, and influenza vaccine annually

question

Which statement should the nurse include in a discussion about passive immunity?

answer

Passive immunity provides temporary protection from disease.

question

What would contraindicate the administration of scheduled immunizations at a client visit for a 6-month-old infant?

answer

a low-grade fever

question

A group of students are role playing various scenarios related to biological weapons. In one of the situations, an adult client develops botulism. What is the appropriate choice for treatment?

answer

Antitoxin

question

The nurse is teaching the parents of a child who has received immunizations and possible adverse effects. What would the nurse identify as common adverse effects? (Select all that apply.)

answer

Nodule at the injection site Fretfulness Chills Anorexia

question

A client being vaccinated for measles asks the nurse about the contents of the vaccine. During the explanation, the nurse mentions a poisonous substance produced by some bacteria that is capable of stimulating antitoxin production. Which is the nurse referring to in the explanation?

answer

toxin

question

The nurse is explaining a schedule for vaccinations to the parents of a new client. When would the nurse explain that the measles, mumps, and rubella (MMR) vaccine is initially administered?

answer

15 months

question

The nurse understands that administration of the routine and booster vaccines are indicated for immunization against polio in which of the following age groups? Select all that apply.

answer

2 months 4 months 6 months

question

A nurse is participating in an influenza vaccination clinic on a college campus. What action will best prepare the nurse for this role?

answer

Review the procedure for intramuscular injection

question

What client would be most likely to benefit from the administration of an antitoxin?

answer

A client in distress who is showing signs and symptoms of botulism

question

A client has presented to the clinic and is requesting the seasonal influenza vaccine. What aspect of the client's health history may contraindicate the safe and effective use of this vaccine?

answer

The client is current prescribed prednisone

question

A 1-year-old child will receive her scheduled MMR vaccination shortly. The nurse should teach the child's parents that the child may develop what possible adverse effect related to the administration of this medication?

answer

cough and fever

question

The infection control nurse is assessing the immunization status of many of the hospital's current clients. For what client would vaccination most likely be contraindicated?

answer

A client who takes immunosuppressants post-renal transplant

question

Which statement indicates that an older adult client correctly understands the current recommendations concerning tetanus-diphtheria booster vaccinations?

answer

"I know that this booster is good for 10 years."

question

A hospitalized client is about to receive immunological therapy and asks the nurse to explain the difference between passive and active immunity. In order to provide complete information, the nurse knows to include which information during the teaching session?

answer

Active immunity occurs when a client receives a killed or weakened antigen that stimulates antibodies. These antibodies fight the antigen (for example, chickenpox vaccine).

question

The nurse at the pediatric clinic gives the mother of an infant a written record of the infant's immune sera use. The nurse encourages the mother to keep the information. What is the rationale behind keeping a written record of immune sera use?

answer

Avert future reactions

Pharm 201 Chapter 49 – Flashcards

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