Wk 6 immunologic Drugs

7. A nurse is prepared to administer a varicella vaccine to a female client planning to start family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant?

12 weeks

21. 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?

30 minutes

12. The nurse is assessing a client who is to receive multiple vaccinations. Which nursing diagnosis should the nurse prioritize for this client?

Acute Pain

9. 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.

Administration of botulism immune globulin to an infant Administration of Crotalidae polyvalent immune Fab for the treatment of a rattlesnake bite

19. 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.

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

10. A nurse is teaching a client about the use 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.

Are proteins present in serum or plasma that contain antibodies. Receive antibodies only to the diseases to which donor blood is immune. Can be obtained from human and animal blood.

6. 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.

B lymphocytes are involved. An antigen-antibody response occurs.

11. 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?

BCG vaccine

15. 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.

Experiencing chickenpox results in immunity to the disease After recovering from pertussis, the client demonstrates immunity against repeat exposures.

18. 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

Explain the risk of contracting vaccine-preventable diseases. Instruct the parents to ensure the medical record is up-to-date Explain the benefits of immunization. Discuss common adverse reactions. Provide the date for return for the next vaccination

16. 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.

Mumps Avian influenza Rabies

4. 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.

Provide for adequate rest periods Administer acetaminophen every 4 hours Apply compresses to the injection site

26. 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?

Reye syndrome

5. 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.

Vaccine expiration date Vaccine lot number Route and site of vaccine administration

17. 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.

Vincristine Methylprednisolone Prednisolone Paclitaxel

20. 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?

after 6 to 8 weeks

27. 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?

antivenin

24. 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.

bacterial fungal viral

8. 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.

chills muscle aches fever lethargy

13. 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

cholera Lyme disease diphtheria

22. 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.

copperhead snake black widow spider rattle snake

3. 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

eggs neomycin gelatin

25. 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.

headache chills urticaria angioedema

28. 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?

passive immunity

23. 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?

rabies vaccine

14. 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?

right arm

1. When educating a group of nursing students on immunologic agents, the nurse refers 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?

toxoids

2. A nurse is preparing to administer an immunologic drug that produces active immunity. Which drug might the nurse be administering? Select all that apply.

vaccines toxpids