vaccines and sera chapter 18

The parents of a two month-old infant have brought their child in to the clinic for the first scheduled immunizations. The parents appear anxious and the child's father says, "We keep hearing about the link between vaccinations and autism. Is there a risk that it could happen to our child?" "There's a rigorous process in place to ensure that vaccinations are safe in this country." "There's been shown to be no genuine link between children receiving vaccinations and developing autism." "Unfortunately, this goes to show that you can't necessarily believe everything that you hear." "The risks of developing autism from a vaccination are exceedingly low and were greatly exaggerated in the media."

"There's been shown to be no genuine link between children receiving vaccinations and developing autism."

The nurse is working with the parents of an infant and has initiated a dialogue about immunizations. The infant's parent states, "We're not comfortable with immunizations because of the safety issue." What is the nurse's best response? "Did you read about the risks of immunizations on the internet?" "What are some of the safety risks that most concern you?" "The benefits of immunizations far outweigh any of the potential risks." "Immunizations have been proven to be safe and effective and are in your child's best interests."

"What are some of the safety risks that most concern you?"

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? 0.5 mL 0.005 mL 0.05 mL 5 mL

0.5 mL

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? 0.5 mL 5 mL 0.05 mL 0.005 mL

0.5 mL

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

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

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? Heat application Aspirin Meperidine Acetaminophen

Acetaminophen

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

Administration of the varicella vaccine to an individual who has no immunity to the disease. Administration of the rubella vaccine to an individual who has no immunity to the disease. Administration of the influenza vaccine to an individual who has no immunity to the disease.

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

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

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? Antitoxin Botulism immune globulin Antivenin Bacterial vaccine

Antitoxin

The administration of immunizations to a client is a form of what type of immunity? Attenuated active immunity Naturally active immunity Artificial active immunity Passive active immunity

Artificial active immunity

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

Avoid all live vaccines.

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

Black widow Copperhead Rattlesnake

A client is scheduled to receive an immunization. In which client may the administration of a live vaccine be contraindicated? Client with hepatic failure Client over the age of 65 Client taking steroid therapy Client with renal impairment

Client taking steroid therapy

A 1-year-old child will receive a 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? Cough and fever Pallor and listlessness Nausea and vomiting Serum sickness

Cough and fever

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

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? Crash cart Oxygen cylinder Cold packs Epinephrine pen

Epinephrine pen

A client who was bitten by a pit viper is to receive antivenin. What is the nurse's best action? Establish IV access Obtain a 3 mL syringe Assess the client's oral mucosa Obtain a 1 mL syringe

Establish IV access

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 ? Every 5 years Annually Every 10 years Every 2 years

Every 10 years

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

Hepatitis B

A nurse is receiving post-exposure prophylaxis for hepatitis B. What would the nurse most likely receive? Immune globulin Zoster vaccine Antivenin crotalidae BCG vaccine SUBMIT ANSWER

Immune globulin

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? Antitoxin Immune globulin Antivenin Immune sera

Immune globulin

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? Children under the age of 15 People over the age of 65 Infants and people at high risk for contracting the disease People with diabetes mellitus or renal disease

Infants and people at high risk for contracting the disease

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

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

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

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

Pregnancy

The school nurse is participating in a program to immunize students against human papillomavirus (HPV). What benefit should the nurse describe to students and their families? Reduced risk for pelvic inflammatory disease (PID) Reduced risk for cervical cancer Protection against several viral sexually transmitted infections Reduced risk for polycystic ovary syndrome

Reduced risk for cervical cancer

The school nurse is participating in a program to immunize students against human papillomavirus (HPV). What benefit should the nurse describe to students and their families? Reduced risk for cervical cancer Reduced risk for polycystic ovary syndrome Reduced risk for pelvic inflammatory disease (PID) Protection against several viral sexually transmitted infections

Reduced risk for cervical cancer

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? Reye syndrome Angioneurotic edema Acute renal failure Lymphoma

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? Teach the client that the there is no known treatment for rabies. Teach the client that the agent of choice is rabies immune globulin Teach the client that the best treatment is to take over-the-counter herbal remedies. Teach the client that the administration of immune globulin is contraindicated for senior citizens regardless of previous reactions.

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

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? The client received the annual influenza vaccine seven days ago The client takes corticosteroids to treat rheumatoid arthritis The client has type two diabetes that is controlled by diet The client uses marijuana two to three times per month

The client takes corticosteroids to treat rheumatoid arthritis

What occurs when the host human responds to the injected antibodies circulating through the body? The circulating antibodies attack the host cells. The host produces its own antibodies to the injected antibodies. The host produces a passive immunity to the antibodies. The host forms antigen-antibody complexes with the injected antibodies.

The host produces its own antibodies to the injected antibodies.

A nurse is teaching a group of clients about immunizations . What benefit of immunization should the nurse describe? They are best reserved for clients under age 65 Promote the development of antigens for the disease. They are generally considered to be risk free They provide the person with active immunity.

They provide the person with active immunity.

A nurse is teaching a group of clients about immunizations . What benefit of immunization should the nurse describe? They are best reserved for clients under age 65 Promote the development of antigens for the disease. They provide the person with active immunity. They are generally considered to be risk free

They provide the person with active immunity.

When describing the use of vaccines to a local community group, what would the nurse include? Vaccines are associated with severe reactions in children. Vaccines are used to provide active immunity. Vaccines can result in signs and symptoms of the full-blown disease. Vaccines promote the development of antigens.

Vaccines are used to provide active immunity.

When describing the use of vaccines to a local community group, what would the nurse include? Vaccines are used to provide active immunity. Vaccines promote the development of antigens. Vaccines are associated with severe reactions in children. Vaccines can result in signs and symptoms of the full-blown disease.

Vaccines are used to provide active immunity.

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

Zoster vaccine

The nurse is educating an older adult client on routine vaccines. Which statement best describes the recommended vaccination schedule for an older adult client? a tetanus-diphtheria booster and influenza vaccination every fall or winter a tetanus-diphtheria booster every 2 years, annual influenza vaccine, and a yearly administration of pneumococcal vaccine an influenza vaccine booster every 10 years, annual tetanus-diphtheria vaccine, and a one-time administration of pneumococcal vaccine at 65 years of age a tetanus-diphtheria booster every 10 years, annual influenza vaccine, and a one-time administration of pneumococcal vaccine at 65 years of age

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

A client has been bitten by a dog, and the dog's rabies status is unknown. The nurse would expect this client to receive a(n): A bacterial antitoxin. A live vaccine. antivenin. immune sera (immune globulin).

immune sera (immune globulin).

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? demonstrating fussiness and crying current history of loose stools current history of feeding poorly low-grade fever

low-grade fever

Middle aged adults and health care workers should receive which immunizations? Tetanus and hepatitis B vaccine Influenza vaccine and hepatitis B vaccine annually Tetanus-diphtheria-pertussis; hepatitis B vaccine once and influenza vaccine annually Diphtheria-pertussis and influenza vaccine annually

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