Pharm Adap Quiz: Ch. 49 Immunizing Drugs
Which question should the nurse ask the patient before administering herpes zoster vaccine?
"Are you allergic to gelatin?"
The community nurse is administering the measles, mumps, and rubella virus vaccine live (M-M-R II) to a group of women. What instruction should the nurse give the women after administering the vaccine?
"Avoid getting pregnant for at least 3 months after vaccination."
What essential teaching should the nurse provide to parents prior to administering the varicella virus vaccine to their child?
"Do not give your child aspirin or other medications called 'salicylates' for the next 6 weeks."
A 60-year-old patient who previously experienced shingles asks about receiving a shingles vaccine. What should the nurse tell the patient?
"Even though you had the disease, you should get the vaccine."
Which information should be included in the teaching plan for a patient receiving tetanus toxoid?
"Soreness at the injection site is a common reaction."
A mother brings her child to the clinic after finding out the child has been administered a Tdap vaccine. What information should the nurse tell the anxious mother?
"This will not harm your child, but we need to administer the missing vaccination."
A 30-year-old patient is brought to the emergency department with a suspected black widow spider bite. After administration of the antivenin, what essential information should the nurse teach the anxious patient?
"You are at low risk for severe injury; however, the antivenin should prevent any effects of the venom."
Tdap is administered to people in which age range?
11 years of age and older
Which patient should receive the pneumococcal vaccine?
A 30-year-old smoker
Administration of DTP toxoid is contraindicated in which patient?
A patient with a history of systemic hypersensitivity reaction
A patient arrives at the clinic with a wound inflicted by a rusty nail. After checking the patient's history, the nurse finds that the patient last received the tetanus booster about 10 years earlier. What is the most appropriate nursing action in this situation?
Administer Tdap.
A patient developed edema at the injection site of an immunization. What is the nurse's best action?
Administer an antiinflammatory drug
A pregnant woman is required to receive the hepatitis B vaccine for postexposure prophylaxis. What is the nurse best action?
Administer the vaccine
Which action should the nurse take when administering FluMist influenza virus vaccine to a patient?
Administer the vaccine intranasally.
Which intervention is necessary when administering hepatitis B immunoglobulin to an infant?
Administer the vaccine within after birth.
A pregnant woman is Rh negative and has previously had an Rh-positive child. Which intervention is essential related to this information?
Administration of Rho-GAM prior to delivery
Which patient should not receive the varicella vaccine?
An adult with HIV/AIDS
Which medicines are helpful in the treatment of serum sickness? Select all that apply.
Analgesics Antihistamines Corticosteroids
Which is a true statement?
Antitoxin is obtained from horses inoculated with the toxin.
Which is a true statement concerning antivenin?
Antivenin comes from horses that are injected with venom.
A primary health care provider has prescribed meningococcal vaccine to a patient with asplenia. How should the nurse administer meningococcal vaccine to the patient?
As a two-dose series
Prior to administering hepatitis B vaccination, which action should the nurse take?
Ask about past allergic reactions to yeast.
The nurse injects the first dose of rabies vaccine into a patient. Following vaccination, the nurse observes that the patient has developed a rash. Which medication should be administered to the patient?
Diphenhydramine
An allergy to which substance is listed as a contraindication to the administration of an immunizing drug?
Egg
A patient has an allergic reaction to the rabies virus vaccine. Which medicine can be administered to the patient as supportive therapy? Select all that apply.
Epinephrine Corticosteroids Diphenhydramine
The nurse is assessing a patient with influenza. Which symptoms associated with influenza would the nurse expect to find in the patient? Select all that apply.
Fever Myalgia Sore throat
Which vaccine contains inactivated virus in its formulation?
Hepatitis B virus vaccine
Which vaccination was developed to prevent bacterial meningitis caused by Haemophilus influenzae?
Hib conjugate vaccine
The primary health care provider orders a measles, mumps, and rubella vaccine (M-M-R II) for a patient. What should the nurse check to ensure safe administration of the vaccine?
History of neomycin anaphylactic reaction
Which statement is correct?
Human papillomavirus vaccine is administered to prevent cancer.
How should the nurse administer the influenza virus vaccine?
IM
Which immunizing drug is harvested from a large pool of blood donors?
Immunoglobin
Administration of which of the following provides passive immunity?
Immunoglobins
Which immunizing drug is safe to administer to a patient with HIV/AIDS?
Immunoglobins
Which is an active immunizing drug?
Influenza virus vaccine
Which is an example of an active immunizing drug?
Meningococcal bacterial vaccine
The nurse teaches the patient that developing immunity after contracting a disease is an example of what type of immunity?
Natural active immunity
Which type of immunity does a newborn obtain from the mother?
Naturally acquired passive immunity
Which vaccination is recommended in the prevention of a virus that is known to cause cervical cancer?
Papillomavirus vaccine
Which assessment is essential prior to the administration of the measles vaccine to a 24-year-old woman?
Perform a pregnancy test if the patient is not on birth control.
The nurse is assessing a child with influenza. After checking the history, the nurse finds that the child has juvenile arthritis and is receiving long-term aspirin therapy for the treatment. For which potential adverse effect should the nurse assess the child?
Reye's syndrome
A patient has received an injection of an equine-derived immunizing drug. What information is essential to teach the patient?
Symptoms of serum sickness
Which drug belongs to the class of pooled immunoglobulins?
Tetanus immunoglobulin
Which immunization should the nurse administer to a patient with a wound that places the patient at risk for infection from Clostridium tetani?
Tetanus immunoglobulin
Which patients are at higher risk for complications from influenza infection? Select all that apply.
The patient with a history of asthma The patient receiving chemotherapy for cancer The patient diagnosed with acquired immunodeficiency syndrome (AIDS)
Which is a true statement about the immunity rendered through vaccines?
Vaccines provide artificially acquired active immunity.
Which statement most accurately describes the pharmacodynamics of vaccines?
Vaccines work by stimulating the humoral immune system.
Which drug is administered subcutaneously?
Varicella virus vaccine
Which immunizing drug is contraindicated with the use of salicylates?
Varicella virus vaccine
The anthrax vaccine is recommended for which groups of people? Select all that apply.
Veterinarians Military personnel Workers who process imported animal hair
The nurse is administering an intramuscular immunization. What should the nurse assess prior to the administration?
Whether the patient is on anticoagulant medications
