Test 7 Drugs

A forest ranger arrives at a community clinic for prophylactic vaccination. The nurse predicts the health care provider will prescribe which vaccine for this client? A. Rabies vaccine B. MMR vaccine C. Varicella vaccine D. Rotavirus vaccine

A

A nurse caring for clients at a family health clinic performs preadministration assessments on all clients before administering vaccines. The nurse will prioritize evaluating for possible pregnancy status before administrating which vaccines to women? Select all that apply. A. measles B. varicella C. mumps D. rubella E. influenza

A, B, C, D,

Several clients have come to the clinic for immunizations. When assessing their medical records, the nurse determines which situations as a contraindication for the administration of a vaccine? Select all that apply. A. Acute nonfebrile illness B. Leukemia C. HIV D. Chronic prednisone therapy E. Clients older than 70 years of age

A, B, C, D,

A nurse is teaching the caregiver of a young client about the varicella vaccine which the primary health care provider has prescribed. The nurse should point out which facts to the child and caregivers? Select all that apply. A. Discuss common adverse reactions. B. Explain the risk of contracting vaccine-preventable diseases. C. Explain the benefits of immunization. D. Instruct the parents to ensure the medical record is up-to-date. E. Provide the date for return for the next vaccination.

A, B, C, D, E,

A nursing instructor is teaching the concept of immunity. The instructor determines that the session was successful when the students correctly choose that cell-mediated immunity protects the body against what type of infections? Select all that apply. A. Bacterial B. Viral C. Protozoal D. Fungal E. Helminth

A, B, D,

The nursing instructor is illustrating the various immunity's the body utilizes to combat disease. The instructor determines the session is successful when the students correctly choose which examples to differentiate artificially acquired active immunity from other types? Select all that apply. A. Administration of the rubella vaccine to an individual who has no immunity to the disease B. Administration of the influenza vaccine to an individual who has no immunity to the disease C. An individual who is exposed to chickenpox for the first time and has no immunity to the disease D. Administration of the varicella vaccine to an individual who has no immunity to the disease E. An individual who is exposed to pertussis for the first time and has no immunity to the disease

A, B, D,

A client has arrived to the clinic and is requesting an update on immunizations. The nurse will point out the client may not be able to have any vaccines due to which current prescribed medication? Select all that apply. A. Prednisolone B. Paclitaxel C. Ciprofloxacin D. Methylprednisolone E. Vincristine

A, B, D, E,

When teaching a client who is receiving cytomegalovirus immune globulin, the nurse would alert the client to the possibility of which reaction? Select all that apply. A. Urticaria B. Headache C. Constipation D. Chills E. Angioedema

A, B, D, E,

A client is preparing to travel to a foreign country and presents to the clinic to ensure their immunizations are current. A nurse should recommend vaccination against which diseases before travel to endemic areas? Select all that apply. A. Tetanus B. Lyme disease C. Varicella D. Tetanus E. Diphtheria

A, B, E

A group of student nurses are preparing for a health fair and will be administering vaccines to the public. The instructor determines the group is well prepared after noting they are prepared to document which information after each administration? Select all that apply. A. Route and site of vaccine administration B. Vaccine lot number C. Name, address, and title of client vaccinated D. Date of next vaccination E. Vaccine expiration date

A, B, E,

A nurse is teaching a client about the use of immune globulins. The nurse determines the session is successful when the client can successfully point out which facts about immune globulins? Select all that apply. A. Receive antibodies only to the diseases to which donor blood is immune. B. Can be obtained from human and animal blood. C. Are given to provide active immunity against disease. D. Onset of protection is rapid with a duration of 6 to 12 months. E. Are proteins present in serum or plasma that contain antibodies.

A, B, E,

After teaching a class to a group of nursing students about immunity, the instructor determines that the teaching was successful when the students correctly choose which situation as an example of passive immunity? Select all that apply. A. Administration of botulism immune globulin to an infant B. An individual develops pertussis after exposure from a sibling C. Administration of Crotalidae polyvalent immune Fab for the treatment of a rattlesnake bite D. An individual who is exposed to chickenpox for the first time and develops the disease E. Administration of the first dose of rubella vaccine to an infant

A, C,

A nurse is preparing to administer influenza A and B vaccine to a client. The nurse should alert the client to which possible adverse reactions to this vaccine? Select all that apply. A. Chills B. Hypotension C. Fever D. Lethargy E. Muscle aches

A, C, D, E,

A nurse is conducting a preadministration assessment of a client prescribed the MMR and varicella vaccine. The nurse will question this order if which allergic reaction is noted in the client's past history? Select all that apply. A. gelatin B. pollen C. eggs D. amoxicillin E. neomycin

A, C, E,

The nursing instructor is teaching a class comparing the various forms of immunity. The instructor determines the session is successful when the students correctly choose which factors as indicators of humoral immunity? Select all that apply. A. B lymphocytes are involved. B. An immunity that is independent of cell-mediated immunity occurs. C. T lymphocytes are activated. D. The immunity protects the body against bacterial, viral, and fungal infections. E. An antigen-antibody response occurs.

A, E,

A nurse in the emergency department is assessing a client who has been bitten by a coral snake. Which drug does the nurse predict the client will be given as treatment? A. Vaccine B. Antivenin C. Toxoid D. Immune globulins

B

A nursing instructor is teaching a class illustrating the various reactions to antivenins. The instructor determines the class is successful when the students correctly point out clients may react within which time period if they are sensitive to an antivenin? A. 120 minutes B. 30 minutes C. 90 minutes D. 60 minutes

B

The caregivers of a child who is recovering from chickenpox tell the nurse the child was given aspirin for a fever. The nurse would prioritize the assessment for indications of which adverse reaction? A. Angioneurotic edema B. Reye syndrome C. Acute renal failure D. Lymphoma

B

The nurse is assessing a client who is to receive multiple vaccinations. Which nursing diagnosis should the nurse prioritize for this client? A. Hyperthermia B. Acute Pain C. Risk for Infection D. Ineffective Coping

B

The nurse is preparing to administer an antivenin to a client. The nurse will explain to the client that the antivenin will provide passive, transient protection against bites from which organisms? Select all that apply. A. Human B. Black widow spider C. Rattlesnake D. Copperhead snake E. Canine

B, C, D

The nurse is preparing to administer IGIV to some clients. The nurse will question this prescription if which information is noted in the client's medical record? Select all that apply. A. Receiving cephalexin B. Pre-existing renal disease C. Diabetes mellitus D. Age 65 years or older E. Receiving vancomycin

B, C, D, E,

1. A group of student nurses are preparing a community presentation illustrating the various vaccines. The instructor determines the student have successfully presented the information with which vaccines being listed as viral vaccines? Select all that apply. A. Typhoid B. Avian influenza C. Haemophilus influenza type B conjugate D. Rabies E. Mumps

B, D, E

A nurse is assessing a client's medical record and determines that the client has naturally acquired active immunity. Which example would most likely apply? Select all that apply. A. Administration of the varicella vaccine protects against varicella B. Experiencing chickenpox results in immunity to the disease C. Faithfully reporting to the clinic for the influenza vaccine every year. D. Administering the rubella vaccine at routine well-baby visits E. After recovering from pertussis, the client demonstrates immunity against repeat exposures.

B, E

A nurse is preparing to administer an immunologic drug that produces active immunity. Which drug might the nurse be administering? Select all that apply. A. Antibodies B. Vaccines C. Immune globulin D. Antigens E. Toxoids

B, E,

A client comes to the clinic and tells the nurse that close family members are suspected of having pulmonary tuberculosis. Which vaccine would the nurse predict the health care provider will prescribe as a preventative measure? A. DPT vaccine B. IPV vaccine C. BCG vaccine D. MMR vaccine

C

A client who is right-handed is to receive a booster injection for a previous vaccination. The nurse prepares to administer the injection at which site? A. Right leg B. Left arm C. Right arm D. Left leg

C

A nursing instructor is teaching a session illustrating the various forms of immunity utilized by the human body. The instructor determines the session is successful when the students correctly choose which type of immunity as developing after the use of ready- made antibodies from animals? A. Active immunity B. Humoral immunity C. Passive immunity D. Cell-mediated immunity

C

A nurse determines a nursing diagnosis of Acute Pain is appropriate for a client receiving a vaccine. Which instructions would the nurse prioritize in the client's plan of care to address this problem? Select all that apply. A. Ensure that the environment is stimulating B. Limit the client's access to fluids C. Provide for adequate rest periods D. Apply compresses to the injection site E. Administer acetaminophen every 4 hours

C, D, E

A child is brought to the health care center for MMR vaccination. On assessment, the nurse discovers that the child had received an antivenin injection for a snake bite 2 days before. When should the nurse instruct the caregivers to return for this vaccine for this child? A. After 3 to 4 weeks B. After 1 to 2 weeks C. After 4 to 5 weeks D. After 6 to 8 weeks

D

A nurse is prepared to administer a varicella vaccine to a female client planning to start a family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant? A. 2 weeks B. 4 weeks C. 8 weeks D. 12 weeks

D

When educating a group of nursing students on immunologic agents, the nurse refers to a substance that is attenuated (or weakened) but still capable of stimulating the formation of antitoxins. The nurse determines that the teaching was successful when the students correctly point out this agent as which substance? A. Vaccines B. Immune globulins C. Antivenins D. Toxoids

D