Pharmacology Chapter 18 Vaccines & Sera

A health care worker has received an 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? A. Acetaminophen B. Heat application C.Meperidine D. Aspirin

A. Acetaminophen

Which is an example of naturally acquired active immunity? (Select all that apply.) A. An individual who is exposed to chickenpox for the first time and has no immunity to the disease. B. An individual who is exposed to pertussis for the first time and has no immunity to the disease. C. Administration of the rubella vaccine to an individual who has no immunity to the disease. D. Administration of the varicella vaccine to an individual who has no immunity to the disease. E. Administration of the influenza vaccine to an individual who has no immunity to the disease.

A. An individual who is exposed to chickenpox for the first time and has no immunity to the disease. B. An individual who is exposed to pertussis for the first time and has no immunity to the disease.

The nurse writes a care plan for a patient receiving vaccines. What would be an appropriate nursing diagnosis for this patient? A. Ineffective tissue perfusion likely if severe reaction occurs B. Chronic pain related to local, GI, and flu-like effects C. Monitor effectiveness of comfort measures and adherence to the regimen D. Monitor patient's blood serum levels

A. Ineffective tissue perfusion likely if severe reaction occurs

A child who is recovering from a chickenpox infection is given aspirin for the fever. Which condition develops following the simultaneous administration of salicylates and the varicella vaccine? A. Reye syndrome B. Lymphoma C. Acute renal failure D. Angioneurotic edema

A. Reye syndrome

A 65-year-old client is being seen in the emergency department for exposure to rabies. The nurse checks the electronic health record and discovers the client has had no history of allergic reactions to immunization agents. The client's history guides the nurse to take which action? A. Teach the client that the agent of choice is rabies immune globulin B. Teach the client that the administration of immune globulin is contraindicated for senior citizens regardless of previous reactions. C. Teach the client that the there is no known treatment for rabies. D. Teach the client that the best treatment is to take over-the-counter herbal remedies.

A. Teach the client that the agent of choice is rabies immune globulin

What recommendation concerning vaccinations should the nurse provide a 50-year-old adult? A. annual influenza vaccination B. annual measles, mumps, rubella (MMR) C. one-time human papillomavirus (HPV) D. one-time human immunodeficiency virus (HIV) vaccination

A. annual influenza vaccination

The college health nurse is providing health education for freshmen. Which piece of information about immunizations is applicable to individuals of this age group? A.The yearly administration of flu vaccine is recommended. B. The tetanus toxoid must be within 2 years. C. The administration of hepatitis A vaccine is mandatory. D. The oral polio should be updated.

A.The yearly administration of flu vaccine is recommended.

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.) A. Severe abdominal pain B .Urticaria C. Fever D. Rhinitis E. Angiedema

B .Urticaria C. Fever E. Angiedema

Which statements best indicates the client understands recommended vaccines following the 65th birthday? A. An influenza vaccine booster every 10 years, annual tetanus-diphtheria vaccine, and a one-time administration of pneumococcal vaccine at 65 years of age B. A tetanus-diphtheria booster every 10 years, annual influenza vaccine, and a one-time administration of pneumococcal vaccine at 65 years of age C. A tetanus-diphtheria booster every 2 years, annual influenza vaccine, and a yearly administration of pneumococcal vaccine D. A tetanus-diphtheria booster every 2 years

B. A tetanus-diphtheria booster every 10 years, annual influenza vaccine, and a one-time administration of pneumococcal vaccine at 65 years of age

An adult client being treated for breast cancer inquired about required vaccinations. What information should the nurse provide to this client? A. Be immunized against pneumococcal disease promptly. B. Avoid all live vaccines. C. Receive a tetanus-diphtheria-pertussis booster. D. Avoid all immunizations for the next 24 months.

B. Avoid all live vaccines.

Antivenins are used for passive, transient protection from which bites? (Select all that apply.) A. Canine B. Copperhead C. Rattlesnake D.Black widow E. Human

B. Copperhead C. Rattlesnake D.Black widow

A nurse is administering a mumps vaccine to an adolescent. Which medication should be available when administering an immunization? A. Hydroxyzine B. Epinephrine C. Diphenhydramine D. Physostigmine

B. Epinephrine

A nurse is working at a free vaccination clinic today and expects to give vaccinations to more than one hundred children. Which item is most important to have available? A. Oxygen cylinder B. Epinephrine pen C. Crash cart D. Cold packs

B. Epinephrine pen

A nurse is reviewing the history of a child who is scheduled to receive immunizations during this health care visit. A history of what issue would alert the need for cautious use of a vaccine? A. Immune deficiency B. Febrile convulsions C. Blood transfusion 3 weeks ago D. Allergy to vaccine component

B. Febrile convulsions

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? A. Rash and edema B. Tenderness and redness at the site C. Weakness and difficulty walking D. Nausea, vomiting, and diarrhea

B. Tenderness and redness at the site

The nurse is educating an older adult client following administration of a tetanus-diphtheria (Td) booster. Which statement indicates that the client correctly understands current recommendations related to this immunization? A. "I will need to return in 1 year for another injection." B. "I will need to return in 6 months for another injection." C. "I know that this booster is good for 10 years." D. "I do not need to worry about infection after getting this injection."

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

What is the best source of information for current recommendations regarding immunizations and immunization schedules? A. Local health care provider's office B. Department of Public Health C. Centers for Disease Control and Prevention D. Department of Epidemiology

C. Centers for Disease Control and Prevention

Administration of the tetanus toxoid in adults involves two initial injections given four weeks apart, a booster injection given six months to a year later, and periodic injections thereafter. What is the recommended interval for the periodic injections for a 66 year old client ? A. Every 2 years B. Annually C. Every 10 years D. Every 5 years

C. Every 10 years

An infant is being administered an immunization. Which statement provides an accurate description of an immunization? A. It produces many adverse reactions, particularly autism, in the infant. B. It protects the infant from exposure to infectious antibodies. C. It is the administration of an antigen for an antibody response. D. It should be administered to a pregnant woman prior to the infant's birth.

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

What is a contraindication to an MMR booster for an adolescent female? A.A positive titer b. Current menses C. Pregnancy D. History of rubeola

C. Pregnancy

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? A. Human papillomavirus (HPV) recombinant vaccine Twinrix B. Influenza A vaccine C. Zoster vaccine

C. Zoster vaccine

The nurse is assessing a 6-month-old infant prior to scheduled immunizations. What finding would the nurse immediately recognize as a reason to reschedule administration? A. demonstrating fussiness and crying B .current history of loose stools C. low-grade fever D. current history of feeding poorly

C. low-grade fever

The school nurse at a junior high school shares with the student's parents that which vaccination will require administration of booster? A. hepatitis C vaccine B. zoster vaccine C. meningococcal vaccine D. measles, mumps, rubella (MMR)

C. meningococcal vaccine

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? A. "The potential risks of vaccinations have been investigated and determined to be nonexistent." B. "Vaccines indeed cause several serious adverse effects, but these are usually treated at the site where your child receives the vaccination." C. "Unfortunately, state laws mandate that your child receive the full schedule of vaccines." D. "Vaccinations are not without some risks, but these are far exceeded by the potential benefits."

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

A client was bitten by a poisonous snake. Which treatment would be most appropriate to administer? A. Antitoxin B. Toxoid C. Immune sera D. Antivenin

D. Antivenin

When providing client teaching to parents regarding measles, mumps, and rubella vaccine administration, which is most important regarding the schedule for administration? A. It is administered at 1 to 2 months. B. It is administered at 5 to 6 months. C. It is administered at 3 to 4 months. D. It is administered at 12 to 15 months.

D. It is administered at 12 to 15 months.

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? A. It is recommended only for adults who have not had chickenpox. B. It is not recommended for children who have not been exposed to the varicella virus. C. It is not recommended for children under the age of 6. D. It is recommended for all children who have not been exposed to the varicella virus.

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

A forest ranger arrives at a community clinic for prophylactic vaccination. Which vaccine would be most important to be administered to the ranger? A. Rotavirus vaccine B. Varicella vaccine C. Measles, mumps, and rubella (MMR) vaccine D. Rabies vaccine

D. Rabies vaccine

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? A. Risk of preterm labor B. Risk of low birth weight infant C. Risk of development of the disease in the newborn D. Risk of birth defects

D. Risk of birth defects

A client develops fever and arthralgia 4 days after the administration of tetanus toxoid. What reaction to the vaccine is this? A. Distress syndrome B. Infectious process C. Anaphylaxis D. Serum sickness

D. Serum sickness

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? A. Pulse B. Respirations C. Blood pressure D. Temperature

D. Temperature

What would the nurse identify as a vaccine that is a toxoid? A. Hepatitis A B. Pneumococcal polyvalent C. Haemophilus influenza B D. Tetanus

D. Tetanus

A client has come to the clinic requesting a hepatitis A and B vaccination before leaving on a tropical vacation. After assessing the client, the nurse should prioritize what finding to communicate to the provider? A. The client received the annual influenza vaccine seven days ago B. The client has type two diabetes that is controlled by diet C. The client uses marijuana two to three times per month D. The client takes corticosteroids to treat rheumatoid arthritis

D. The client takes corticosteroids to treat rheumatoid arthritis

The perinatal nurse recognizes that what vaccine can be safely given to a neonate? a. Hepatitis B b. Measles, mumps and rubella (MMR) C. Varicella D. Hepatitis A

a. Hepatitis B