NUR 2092 Ch. 18 Vaccines and Sera
- 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?
Answer It is recommended for all children who have not been exposed to the varicella virus.
- A nursing instructor is discussing the intended populations for various vaccines. Which
groups might the instructor mention when discussing the hepatitis B vaccine?
Answer Paramedics and emergency medical technicians
- 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?
Answer Teach the client that the agent of choice is rabies immune globulin
- When describing the use of vaccines to a local community group, what would the nurse
include?
Answer Vaccines are used to provide active immunity.
- 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?
Answer 0.5 mL
- An infant is being administered an immunization.Which statement provides an accurate
description of an immunization?
Answer 1 / 3
It is the administration of an antigen for an antibody response.
- To prevent meningococcal infections, the nurse would administer
Answer Vaccine
- A forest ranger arrives at a community clinic for prophylactic vaccination. Which vaccine
would be most important to be administered to the ranger?
Answer
- Rabies vaccine
- What is the difference between toxoids and vaccines?
Answer Toxoids always require occasional boosters.
- 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?
Answer "Vaccinations are not without some risks, but these are far exceeded by the potential benefits."
- What would the nurse identify as a vaccine that is a toxoid?
Answer Tetanus
- A group of nursing students are presenting information on the hepatitis B vaccine. What
would the students prepare to tell others about the recommend- ed population?
Answer Infants and people at high risk for contracting the disease
- A child who is recovering from a chickenpox infection is given aspirin for the fever. Which
condition develops following the simultaneous administra- tion of salicylates and the varicella vaccine? 2 / 3
Answer Reye syndrome
- 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?
Answer Ciprofloxacin
- Which is an example of artificially acquired active immunity? (Select all that apply.)
Answer 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.Administration of the rubella vaccine to an individual who has no immunity to the disease.
- 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?
Answer Temperature
- The nurse is preparing to administer a vaccine to a newborn. What action would the nurse
take prior to administering the vaccine?
Answer Check the infant's temperature.
- The nurse is assessing a 6-month-old infant prior to scheduled immuniza- tions. What
finding would the nurse immediately recognize as a reason to reschedule administration?
Answer low-grade fever
- When providing client teaching to parents regarding measles, mumps, and rubella vaccine
- / 3
administration, which is most important regarding the schedule for administration?