Immune exam
A nurse is preparing to administer vaccines to a four month old infant which of the following vaccines should the nurse plan to administer
Rotavirus
A nurse is working with an assistive personnel who is pregnant the nurse is unsure of the APs immune status which of the following client should the nurse safely assigned to the aP
A toddler who has impetigo
While admitting a client for a cardiac Catheterization the nurse asked the client about allergies which of the following client food allergy should the nurse report to the provider prior to the procedure
Shellfish
A nurse is caring for a 6-month-old child. The child's provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?
Temperature of 40.5º C (104.9º F) after last DTaP
A nurse is assisting with planning an immunization clinic for older adult clients. Which of the following information should the nurse plan to include about influenza?
The composition of the influenza vaccine changes yearly
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
prior to discharge from the hospital AFTER giving birth
During an admission interview, a client tells the nurse that he takes echinacea, but does not remember why his provider recommended it for him. The nurse should remind the client that this herbal supplement
stimulates the immune system
a nurse is preparing to administer the MMR vaccine to a 15 month old child. Which of the following findings should the nurse identify as a contraindication for this immunization?
the child has a congenital immunodeficiency
red rash on face, fever, weight loss and join pain. Nurse should prepare client for which lab test?
Antinuclear antibody (ANA) titer
A nurse is caring for a school-age child who has seasonal allergies and has been taking diphenhydramine. The provider recommends fexofenadine for the child. The child's parent asks the nurse about the advantage of taking fexofenadine. Which of the following responses should the nurse make?
Fexofenadine is less sedating."
A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. which of the following statements by the client indicates an understanding of the teaching?
I will need to take this medication for the rest of my life"
A nurse is reinforcing teaching to a group of clients about emergency care for a client who has a snake bite on a leg which of the following information should the nurse reinforced in the teaching
Immobilize the affected extremity with a splint
A nurse in a clinic is appearing to administer pre-kindergarten vaccines to a five year old child who medical records indicate that his immunizations are up to date which of the following vaccines should the nurse plan to administer
Measles mumps and rubella ( MMR)
A nurse in a clinic is reviewing the prescriptions for a client who had a delayed hypersensitivity reaction to an unknown trigger. The nurse should expect the provider to prescribe which of the following tests?
Patch test
A nurse is reinforcing teaching with a group of assistive personnel(AP) about infection control measures on the unit. The nurse should remind the AP's that which of the following is the most effective way to prevent the spread of pathogens during client care?
Performing hand hygiene frequency and consistently.
A nurse is reinforcing teaching with a group of clients about the first a care for a bee sting which of the following information should the nurse reinforced in the teaching
Remove the stinger by scraping it off with a knife blade
A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Request that the surgeon prescribe a different antibiotic
A nurse is caring for a client who asks about the functions of the thymus, spleen and lymph nodes. Which of the following responses should the nurse make?
These organs support immunity
A nurse is caring for a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. The nurse understands that this result means the client
You will need an immunization following delivery
