Question 1

The nurse teaches nursing students that to maintain immunity,the booster for tetanus prevention should be given to adults at what intervals?

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), the booster for tetanus prevention should be given to adults every 10 years to maintain immunity. This ensures that the body continues to produce antibodies to protect against tetanus infection.

Question 2

A nurse is caring for a client who was just administered hepatitis B immune globulin.The client asks,"How long will it take until I'm protected against hepatitis?" The nurse's response is based on which understanding?

Accepted Answer

Hepatitis B immune globulin provides passive immunity, meaning the client is immediately protected by the antibodies administered. This is different from active immunity, where the body produces its own antibodies in response to a vaccine, which can take several days to weeks.

Question 3

A client with chronic obstructive pulmonary disease (COPD)says,I'm not going to take a flu shot this year.If there is an outbreak,I'll take one then." How should the nurse respond to this statement?
Select all that apply.

Accepted Answer

B) Immunizations need time to help the body build immunity, and waiting until an outbreak occurs may not provide sufficient time for the vaccine to become effective. C) Influenza can be particularly severe in individuals with COPD, and treatment options may be limited or less effective, making prevention through vaccination crucial.

Question 4

The nurse would expect antibodies for passive immunity to be administered in which situations?
Select all that apply.

Accepted Answer

Passive immunity provides immediate protection when there is not enough time for the body to develop its own immune response. Therefore, passive immunity would be appropriate in situations where there is a great risk of exposure, the client has already been exposed to a virulent pathogen, or there is not sufficient time to develop active immunity. Passive immunity is temporary and does not provide long-term protection, so it would not be appropriate in situations where the initial immunization failed or the client has undergone bone marrow transplant, which requires long-term protection.

Question 5

Why was a recombinant form of the hepatitis B vaccine developed?

Accepted Answer

The original hepatitis B vaccine was made from the blood plasma of infected individuals, which carried a risk of transmitting bloodborne pathogens, including HIV. This concern led to the development of a recombinant form of the vaccine, which is produced in yeast cells and does not carry this risk.

Question 6

A nurse has administered a DTaP immunization to a 7-month-old infant.The nurse educates the parent that this is the first of a series of immunizations against which diseases?
Select all that apply.

Accepted Answer

DTaP immunization is designed to protect against Diptheria, Tetanus, and Pertussis. It does not protect against Varicella or Hepatitis A.

Question 7

A parent states,The doctor said the hepatitis B vaccine is a live virus.I don't want to run the risk of giving my child hepatitis." How should the nurse respond?
Select all that apply.

Accepted Answer

The hepatitis B vaccine is not a live virus vaccine; it is made from a part of the hepatitis B virus (the surface antigen) and cannot cause hepatitis B infection. Therefore, statements B and C are correct in clarifying the misconception and reassuring the parent that the vaccine is safe and cannot cause the disease.

Question 8

The nurse correctly understands that the administration of the meningococcal vaccine should occur at which ages?

Accepted Answer

The meningococcal vaccine is recommended for administration at age 11 years.

Question 9

Which population should receive the Zostavax vaccine?

Accepted Answer

The Zostavax vaccine is recommended for adults over 60 to prevent shingles, a painful rash caused by the same virus as chickenpox. It is not recommended for pregnant women, children at 15 months, or college students.

Question 10

The nurse correctly identifies which symptoms as the neurological findings associated with symptoms of meningococcus?
Select all that apply.

Accepted Answer

Seizures, photophobia, nuchal rigidity, and headache are all neurological findings associated with symptoms of meningococcus. Vomiting is a common symptom of many illnesses and is not specific to meningococcus.

Question 11

Which vaccines are of the whole-agent type?

Accepted Answer

The answer of Which vaccines are of the whole-agent type?
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Question 12

Four cases of meningococcal meningitis have been reported in a local school district.The school nurse prepares to treat the remaining school population based upon which knowledge?
Select all that apply.

Accepted Answer

A) Immunization is a preventive measure for those who have not yet been exposed to the disease, but in the context of a recent exposure, the immediate response often includes prophylactic antibiotics rather than vaccination. However, vaccination can be considered for future prevention.E) Prophylactic antibiotics are recommended for close contacts of someone with meningococcal meningitis to prevent the spread of the disease.

Question 13

A client who is going to Africa requires vaccination against hepatitis A.How should the nurse schedule the three injections needed for this vaccination?
Select all that apply.

Accepted Answer

The answer of A client who is going to Africa...

Question 14

A client has experienced an adverse reaction to an immunization.The nurse has reported the event to the Vaccine Adverse Event Reporting System (VAERS).What response should the nurse expect from this group?
Select all that apply.

Accepted Answer

The data will be added to other data about the vaccine to monitor safety and trends. Information from the report may be published in a central repository for public health monitoring and research.

Question 15

After administering vaccines to a 15-month-old child,the nurse should counsel the parent to control temperature elevation using which method?

Accepted Answer

Acetaminophen is recommended for controlling fever in young children due to its safety profile. Aspirin is not recommended due to the risk of Reye's syndrome, and ibuprofen is generally not the first choice for infants under 6 months. Sponge baths are not as effective as medication for fever control.

Question 16

The client who has received intravenous immune globulin must wait what length of time before receiving active immunization?

Accepted Answer

The client must wait 4 months before receiving active immunization after receiving intravenous immune globulin. This is to ensure that the immune globulin does not interfere with the body's ability to develop immunity from the vaccine.

Question 17

The nurse correctly understands that the administration of the PCV vaccine should occur at which ages?

Accepted Answer

The PCV (Pneumococcal Conjugate Vaccine) is recommended to be administered at 2, 4, 6, and 12 to 15 months of age, following the immunization schedule to protect against pneumococcal diseases.

Question 18

Where do infected animals harbor the rabies virus?

Accepted Answer

Infected animals harbor the rabies virus in their saliva, which is the primary means of transmission to other animals or humans.

Question 19

The nurse would expect RhoGAM to be administered to which client?

Accepted Answer

RhoGAM is typically administered to Rh-negative mothers at 28 weeks' gestation to prevent hemolytic disease of the newborn in subsequent pregnancies. It is not indicated for kidney transplant, HIV-positive, or immunosuppressed clients.

Question 20

Which clients would the nurse identify as acceptable candidates for live,attenuated intranasal vaccine (LAIV)for influenza?
Select all that apply.

Accepted Answer

The live, attenuated intranasal vaccine (LAIV) for influenza is recommended for healthy, non-pregnant individuals aged 2 through 49 years. Therefore, a 3-year-old going to daycare (B), a 24-year-old male working in a homeless shelter (D), and a 17-year-old soccer player (E) are acceptable candidates. Pregnant women (A) and individuals over 50 years of age (C) are not recommended to receive LAIV due to increased risk of complications or reduced efficacy.

Quiz 43: Immunizing Agents

The nurse teaches nursing students that to maintain immunity,the booster for tetanus prevention should be given to adults at what intervals?

A nurse is caring for a client who was just administered hepatitis B immune globulin.The client asks,"How long will it take until I'm protected against hepatitis?" The nurse's response is based on which understanding?

A client with chronic obstructive pulmonary disease (COPD) says,I'm not going to take a flu shot this year.If there is an outbreak,I'll take one then." How should the nurse respond to this statement? Select all that apply.

The nurse would expect antibodies for passive immunity to be administered in which situations? Select all that apply.

Why was a recombinant form of the hepatitis B vaccine developed?

A nurse has administered a DTaP immunization to a 7-month-old infant.The nurse educates the parent that this is the first of a series of immunizations against which diseases? Select all that apply.

A parent states,The doctor said the hepatitis B vaccine is a live virus.I don't want to run the risk of giving my child hepatitis." How should the nurse respond? Select all that apply.

The nurse correctly understands that the administration of the meningococcal vaccine should occur at which ages?

Which population should receive the Zostavax vaccine?

The nurse correctly identifies which symptoms as the neurological findings associated with symptoms of meningococcus? Select all that apply.

Which vaccines are of the whole-agent type?

Four cases of meningococcal meningitis have been reported in a local school district.The school nurse prepares to treat the remaining school population based upon which knowledge? Select all that apply.

A client who is going to Africa requires vaccination against hepatitis A.How should the nurse schedule the three injections needed for this vaccination? Select all that apply.

A client has experienced an adverse reaction to an immunization.The nurse has reported the event to the Vaccine Adverse Event Reporting System (VAERS) .What response should the nurse expect from this group? Select all that apply.

After administering vaccines to a 15-month-old child,the nurse should counsel the parent to control temperature elevation using which method?

The client who has received intravenous immune globulin must wait what length of time before receiving active immunization?

The nurse correctly understands that the administration of the PCV vaccine should occur at which ages?

Where do infected animals harbor the rabies virus?

The nurse would expect RhoGAM to be administered to which client?

Which clients would the nurse identify as acceptable candidates for live,attenuated intranasal vaccine (LAIV) for influenza? Select all that apply.