Question 1

Two patients arrive at the clinic; one is a young boy with sickle cell anemia,and another is a 57-year-old woman with early stages of Hodgkin's disease.The nurse notices that both patients need the same vaccine.What vaccine would that be?

Accepted Answer

The vaccine that both patients would need is the Haemophilus influenzae type b (Hib) vaccine. This vaccine protects against a bacterial infection that can cause serious illness, including meningitis and pneumonia. It is recommended for children under 5 years old and people with certain medical conditions, including sickle cell anemia and Hodgkin's disease. The other vaccine options listed are not indicated for either sickle cell anemia or Hodgkin's disease.

Question 2

A 12-month-old infant has received an MMR II (measles,mumps,and rubella virus vaccine),and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What will the nurse suggest?

Accepted Answer

Applying warm compresses to the injection site can help alleviate any discomfort or swelling that may occur after receiving the MMR vaccine. Applying an ice pack could potentially worsen the swelling and redness, and the infant does not need to be brought to the emergency department unless there are severe symptoms such as difficulty breathing or a high fever. Observation is always important, but suggesting a course of action to help the infant feel better is warranted in this situation.

Question 3

The nurse is reviewing principles of immunization.What type of immunization occurs when antibodies pass from mother to infant during breastfeeding or through the placenta during pregnancy?

Accepted Answer

Natural passive immunization occurs when antibodies are passed from mother to infant through breast milk or the placenta during pregnancy. This form of immunity is passive because the infant is not actively producing their own antibodies.

Question 4

A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the "new vaccine that prevents HPV." She wants to receive the papillomavirus vaccine (Gardasil).Which response by the nurse is most appropriate?

Accepted Answer

According to CDC guidelines, the recommended age range for HPV vaccination in females is 9 to 26 years of age. Vaccination is most effective prior to the first sexual encounter, but can still provide some protection for individuals who have already been sexually active. It is important to discuss the risks and benefits of the vaccine with the healthcare provider and obtain informed consent before administration.

Question 5

The nurse is reviewing the health history of a new patient who may need immunizations.Active immunizations are usually contraindicated in which patients? (Select all that apply.)

Accepted Answer

Active immunizations are usually contraindicated in patients with a febrile illness, those who are immunosuppressed, and those receiving cancer chemotherapy due to the potential for reduced vaccine efficacy and increased risk of adverse effects.

Question 6

A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can.The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?

Accepted Answer

Hepatitis B immunoglobulin (BayHep B) provides immediate passive immunity to hepatitis B infection and is recommended as a prophylactic treatment for needle stick injuries. The other options (A, B, and D) do not apply to this specific situation.

Question 7

A nurse is working in an immunization clinic.A new colleague asks,"When is the first dose of the diphtheria,tetanus,and acellular pertussis (DtaP,Daptacel)given?" The nurse knows that this series is started at what age?

Accepted Answer

The first dose of the DtaP vaccine is typically given at 6 weeks of age.

Question 8

A health care worker will be receiving hepatitis B immunoglobulin (BayHep B),0.06 mg/kg IM now and repeated in 30 days as part of hepatitis B prophylaxis after a needle stick accident.The patient weighs 264 pounds.Identify how many milligrams will the patient receive for each dose.(record answer using one decimal place)_______

Accepted Answer

The answer of A health care worker will be receiving...

Question 9

A patient is in the urgent care center after experiencing a black widow spider bite.The nurse prepares to give which product to treat this injury?

Accepted Answer

Antivenins or antisera are specifically designed to neutralize the toxins injected by venomous creatures like black widow spiders, making it the best choice for treating a black widow spider bite. Live vaccines and active immunizing drugs are used preventatively, while tetanus immune globulin is recommended for wounds contaminated with dirt, feces, soil, or saliva, but not for spider bites.

Question 10

A 45-year-old man has received a series of immunizing drugs in preparation for a trip to a developing country.Within hours,his wife brings him to the emergency department because he has developed edema of the face,tongue,and throat and is having trouble breathing.The nurse suspects that,based on the patient's history and symptoms,he is experiencing which condition?

Accepted Answer

The patient is experiencing an anaphylactic reaction, which is a type of immediate hypersensitivity reaction that can occur as a result of immunizing drugs. The symptoms of edema of the face, tongue, and throat, and trouble breathing are characteristic of anaphylaxis. Serum sickness is a delayed hypersensitivity reaction and would not cause immediate symptoms. Cross-sensitivity refers to a reaction to a drug that is similar in structure to one the patient has previously received, but is not applicable to this scenario. Thrombocytopenic purpura is a condition involving low platelet counts and bleeding, which is not related to the patient's symptoms. Adenopathy refers to enlargement of lymph nodes and is not related to this scenario.

Quiz 49: Immunizing Drugs

Two patients arrive at the clinic; one is a young boy with sickle cell anemia,and another is a 57-year-old woman with early stages of Hodgkin's disease.The nurse notices that both patients need the same vaccine.What vaccine would that be?

A 12-month-old infant has received an MMR II (measles,mumps,and rubella virus vaccine) ,and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What will the nurse suggest?

The nurse is reviewing principles of immunization.What type of immunization occurs when antibodies pass from mother to infant during breastfeeding or through the placenta during pregnancy?

A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the "new vaccine that prevents HPV." She wants to receive the papillomavirus vaccine (Gardasil) .Which response by the nurse is most appropriate?

The nurse is reviewing the health history of a new patient who may need immunizations.Active immunizations are usually contraindicated in which patients? (Select all that apply.)

A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can.The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?

A nurse is working in an immunization clinic.A new colleague asks,"When is the first dose of the diphtheria,tetanus,and acellular pertussis (DtaP,Daptacel) given?" The nurse knows that this series is started at what age?

A patient is in the urgent care center after experiencing a black widow spider bite.The nurse prepares to give which product to treat this injury?