Deck 19: Immunologic Medications

Question 1

A patient asks the nurse why she needs a booster of tetanus toxoid after she cut her finger,since she already had a shot when she was a child.What should the nurse explain the booster produces?

A) Active immunity
B) Natural immunity
C) Protective antibodies
D) Passive immunity

Answer 1

Protective antibodies

Question 2

Which is the best intervention to relieve local discomfort from an immunization?

A) Application of emollients
B) Application of ice
C) Application of lidocaine ointment
D) Acetaminophen

Answer 2

Acetaminophen

Question 3

Which term refers to a medication containing a weakened or dead antigen?

A) Toxoid
B) Vaccine
C) Antiserum
D) Antidote

Answer 3

Vaccine

Question 4

Why is it important for the nurse giving a vaccine to know whether the patient has an allergy to eggs and feathers?

A) Many biologic agents come from chick embryos.
B) Viruses are found in all eggs.
C) Chicken egg cells are close to human cells.
D) There is clotted blood in egg cells.

Question 5

The development of immunity to the chickenpox virus after having the disease is an example of which kind of immunity?

A) Passive
B) Artificial
C) Natural
D) Antigen

Question 6

The nurse would recommend a yearly influenza virus vaccine to which person?

A) Teenager
B) Young mother
C) Middle-aged man
D) Older adult woman

Question 7

The biologic agent purified protein derivative (PPD)is used to screen for exposure to which disease?

A) Tuberculosis
B) Yellow fever
C) Pneumonia
D) Cholera

Question 8

Which biologic agents are used in a routine schedule for active immunizations?

A) PPD
B) Toxoids
C) Antigens
D) Toxins

Question 9

Which patient is at high risk for needing a booster injection of vaccine?

A) A 45-year-old high school secretary
B) A second-grade student
C) A teacher just finishing college
D) A soldier on active duty

Question 10

TD (tetanus and diphtheria)boosters are recommended at which interval?

A) Every 5 years
B) Every 7 years
C) Every 10 years
D) Every 15 years

Question 11

Which circumstance indicates that a 5-year-old about to enter grade school should be screened for current illness before receiving her immunizations?

A) She will cry and hurt too much.
B) Her father is chronically ill at home.
C) She has another year before she needs them.
D) Her mother passed immunity to her at birth.

Question 12

Which is the nurse's best means of determining whether a patient is immunized against a certain disease?

A) Ask the patient for records.
B) Look for vaccination scars.
C) Call the health department.
D) Obtain a blood titer.

Question 13

Which patient is at an increased risk if using an immunologic agent?

A) A postal worker
B) A college student
C) A neonate
D) A pilot

Question 14

The nurse observes the arm of a patient who was given the Mantoux skin test for tuberculosis.There is induration of 3 mm.How should the nurse document the results?

A) Negative
B) Questionable
C) Positive for exposure
D) Positive for TB

Question 15

Which patient should take the varicella vaccine?

A) A child who stepped on a rusty nail
B) An adult who has never been immunized
C) A health care worker
D) Any child under 1 year of age

Question 16

Protection from which infectious disease can be offered by routine immunization with PCV (children)or PPV (adults)vaccine?

A) Streptococcus pneumoniae
B) Typhoid
C) Cholera
D) Toxoid

Question 17

A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child.Which would be the nurse's best response to the mother?

A) "The doctor wants the child to have the shot."
B) "We will give the injection at the next visit."
C) "More complications are caused by the disease than by the immunization."
D) "Side effects are expected, and there is nothing to worry about."

Question 18

Which is an example of artificially acquired active immunity?

A) Developing chickenpox as a child
B) Developing measles as an adult
C) Receiving a PPD yearly
D) Receiving prophylactic vaccines

Question 19

A patient comes into the clinic with complaints of a cold.He is also there for a flu shot.Which represents the reason a flu shot is not recommended in this case?

A) Active infection is present.
B) WBCs are too low.
C) CBCs are high.
D) Susceptibility is down.

Question 20

A child is scheduled for immunizations,but the mother states that his temperature has been 100.2° F all day.The nurse will take which action next?

A) Tell the mother to go home.
B) Give the immunizations.
C) Give a higher dose because of the fever.
D) Tell the mother to wait 1 month.

Question 21

How are foreign substances in the bloodstream removed from the body?

A) The filtering system of the liver
B) Water in the large intestine
C) Urine moving though the ureters
D) The lymphatic system

Question 22

Pneumococcal vaccine produces immunity against which illnesses? (Select all that apply.)

A) Pneumonitis
B) Meningitis
C) Pneumonia
D) Pertussis
E) Influenza

Question 23

Which statements are correct concerning vaccines and toxoids? (Select all that apply.)

A) They are biologic agents that produce active immunization.
B) They are biologic agents that produce passive immunization.
C) They are prepared with animal serum.
D) They are considered a blood product.
E) They are only used in children.

Question 24

Infants and children are immunized to prevent which diseases? (Select all that apply.)

A) Hepatitis B
B) Hepatitis C
C) Polio
D) Varicella
E) Lyme disease

Question 25

A 25-year-old patient believed that he still had immunity to childhood illnesses until he developed chickenpox.What is the best explanation of this situation made by the nurse to the patient?

A) He never had an injection for immunity.
B) Artificially acquired active immunity doesn't always confer lifelong immunity.
C) He never got a booster as a child.
D) There was no immunity injection for this disease.

Question 26

A female patient brings her newborn in to the clinic for immunizations.During the visit,the patient asks the nurse what is naturally acquired passive immunity.What is the best example provided by the nurse?

A) Immunity through breastfeeding an infant
B) Immunity through immunoglobulins
C) Immunity through an attenuated or weakened toxin
D) Immunity through having and recovering from a disease

Question 27

Patients receiving immune serums should be evaluated for which effect?

A) Headaches
B) Skin rash
C) Disease suppression
D) Numbness in the fingers

Question 28

Which may be used to relieve localized discomfort after immunization injections? (Select all that apply.)

A) Warm compresses
B) Acetaminophen
C) Antihistamines
D) Decongestants
E) Rest