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vaccine/ immunity
| Question | Answer |
|---|---|
| A nurse is teaching a group of clients about immunizations . What benefit of immunization should the nurse describe? | They provide the person with active immunity. |
| 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? | Low-grade fever |
| A 70-year-old client is seen in the family practice clinic. Which vaccine should be administered to prevent herpes zoster? | Zoster vaccine |
| Antivenins are used for passive, transient protection from which bites? | Rattlesnake -Black widow -Copperhead |
| When describing the use of vaccines to a local community group, what would the nurse include? | Vaccines are used to provide active immunity. |
| 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 is referring to: | toxoids. |
| What would the nurse identify as a vaccine that is a toxoid? | Tetanus |
| A group of students are reviewing information about immunizations. The students demonstrate a need for additional study when they identify what as a component of an immunization? | Serum with bacterial antibodies |
| Middle aged adults and health care workers should receive which immunizations? | Tetanus-diphtheria-pertussis; hepatitis B vaccine once and influenza vaccine annually |
| Administration of the tetanus toxoid in adults What is the recommended interval for the periodic injections for a 66 year old client ? | Every 10 years |
| A client was bitten by a poisonous snake. Which treatment would be most appropriate to administer? | Antivenin |
| A client develops fever and arthralgia 4 days after the administration of tetanus toxoid. What reaction to the vaccine is this? | Serum sickness |
| 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? | Risk of birth defects |
| The perinatal nurse recognizes that what vaccine can be safely given to a neonate? | Hepatitis B |
| 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 every 10 years, annual influenza vaccine, and a one-time administration of pneumococcal vaccine at 65 years of age |
| The nurse is providing wellness information to a 50-year-old client who is employed as a paramedic. The client asks what, if any, vaccines the client should get. What is the nurse’s best response? | Tetanus-diphtheria-pertussis; hepatitis B vaccine once; influenza vaccine annually |
| To prevent meningococcal infections, the nurse would administer: | vaccine |
| A client who was bitten by a pit viper is to receive antivenin. What is the nurse’s best action? | Establish IV access |
| 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 |
| The nurse educator is teaching a class of community leaders about immunologic agents. To minimize the concern regarding adverse effects of vaccinations, the nurse should include which mild reactions in the teaching plan? | Chills and fever |
| What is the difference between toxoids and vaccines? | Toxoids always require occasional boosters. |
| An adult client being treated for breast cancer inquired about required vaccinations. What information should the nurse provide to this client? | Avoid all live vaccines. |
| A nurse is receiving post-exposure prophylaxis for hepatitis B. What would the nurse most likely receive? | Immune globulin |
| What would the nurse identify as a vaccine that is a toxoid? | Tetanus |
| A client receives an immunization. The nurse interprets this as providing the client with which type of immunity? | artificially acquired active immunity |
| Which is an example of artificially acquired active immunity? (Select all that apply.) | Administration of the varicella vaccine, influenza vaccine, rubella vaccine to an individual who has no immunity to the disease. |
| A nurse is participating in an influenza vaccination clinic on a college campus. What action will best prepare the nurse for this role? | Review the procedure for intramuscular injection |
| A group of students are role-playing scenarios involving biological weapon exposure. Which medication would the students identify as using for a client with cutaneous anthrax? | Ciprofloxacin |
| Which is an example of naturally acquired active immunity? (Select all that apply.) | An individual who is exposed to chickenpox, pertussis for the first time and has no immunity to the disease. |
| The nurse is preparing to administer a dose of the human papillomavirus vaccine to a middle school student. What assessment question should the nurse prioritize when interacting with the student? | "What's your understanding of why you're getting this vaccination?" |
| A client is scheduled to receive an immunization. In which client may the administration of a live vaccine be contraindicated? | Client taking steroid therapy |
| A 65-year-old male client lives in a long-term care facility. The infection control nurse identifies a cluster of clients on the unit diagnosed with shingles. What would the nurse expect the client’s prescriber to order? | Shingles vaccine |
| Antibodies | a blood protein produced in response to and counteracting a specific antigen |
| Antigen | a toxin or other foreign substance which induces an immune response in the body |
| Immunoglobulin | function of antibodies |
| vulnerable populations | cancer patients, immunocompromised people, babies, elderly |
| Adverse reactions to vaccines? | at injection site pain, redness, swelling, fever, rash, drowsiness |
| passive immunity? | Occurs naturally between mother and fetus, artificial Examples: Give the person the means to fight off an invading organism; tetanus, hepatitis, rabies, snakebite antivenin |
| When discussing vaccines in class, a student asks the instructor what an antitoxin is? | passive immunity |
Created by:
armcneal