Deck 49: Immunizing Drugs and Biochemical Terrorism

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?

A) Varicella virus vaccine ( Varivax )
B) Herpes zoster vaccine ( Zostavax )
C) Hepatitis B virus vaccine, inactivated ( Recombivax HB )
D) Haemophilus influenzae type b ( Hib ) vaccine

Answer 1

Haemophilus influenzae type b ( Hib ) vaccine

Question 2

A 72-year-old patient is to receive a pneumococcal vaccine, polyvalent (Pneumovax 23). The nurse recognizes that which statement about this vaccine is true?

A) It is given by subcutaneous injection.
B) It is given by deep intramuscular injection.
C) The patient will have to return for a total of three injections.
D) It is given yearly to provide immunization against current strains of pneumococcal bacteria.

Answer 2

It is given by subcutaneous injection.

Question 3

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?

A) Apply an ice pack to the injection site.
B) Apply warm compresses to the injection site.
C) Observe the site for further swelling and redness.
D) Bring the infant in to the emergency department for an immediate examination.

Answer 3

Apply warm compresses to the injection site.

Question 4

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) Haemophilus influenzae type b ( Hib )
B) Varicella virus vaccine ( Varivax )
C) Hepatitis B immunoglobulin ( BayHep B )
D) Hepatitis B virus vaccine ( inactivated ) ( Recombivax HB )

Question 5

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. How many milligrams will the patient receive for each dose? (Record answer using one decimal place.)

Question 6

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) At birth
B) 6 weeks
C) 3 months
D) 1 year

Question 7

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?

A) "This vaccine is recommended for women 13 to 26 years of age."
B) "We will need to make sure you are not pregnant first."
C) "There will be a total of three injections."
D) "I will check with your health care provider and then get the first dose of the vaccine ready."

Question 8

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) Patients with a febrile illness
B) Children younger than 1 year of age
C) Elderly patients
D) Patients who are immunosuppressed
E) Those receiving cancer chemotherapy

Question 9

The nurse is conducting a class on potential bioterrorism agents, and a participant asks, "Which one has three routes of exposure to humans?" Which response by the nurse is correct?

A) Anthrax
B) Smallpox
C) Botulism
D) Tularemia

Question 10

The nurse is reviewing the information about the herpes zoster vaccine (Zostavax) before administering the dose. Which statements about the vaccine are true? (Select all that apply.)

A) It is a one-time vaccine.
B) The vaccine is recommended for patients 50 years of age and older.
C) The vaccine is given to children to prevent chickenpox.
D) It is used to prevent postherpetic neuralgia.
E) It is contraindicated in patients who have already had shingles.
F) The vaccine is used to prevent reactivation of the zoster virus that causes shingles.

Question 11

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?

A) Serum sickness
B) Cross-sensitivity
C) Thrombocytopenic purpura
D) Adenopathy

Question 12

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) Artificial active immunization
B) Attenuating immunization
C) Natural passive immunization
D) Artificial passive immunization

Question 13

A patient has been diagnosed with a severe case of inhalational anthrax. The nurse is preparing to implement the medication orders. Which medication is appropriate for inhalational anthrax?

A) doxycycline
B) ciprofloxacin
C) immunoglobulin (BayGam)
D) anthrax vaccine

Question 14

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?

A) Live vaccine
B) Antivenins or antisera
C) Tetanus immune globulin
D) Active immunizing drug