49ner Flashcards
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?
Haemophilus influenzae type b (Hib) vaccine
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?
Natural passive immunization
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?
Serum sickness
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?
Apply warm compresses to the injection site.
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?
Hepatitis B immunoglobulin (BayHep B)
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?
6 weeks
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?
Antivenins or antisera
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?
“For women, the recommended age for this vaccine is 13 to 26 years of age.”
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.)
Patients with a febrile illness
Patients who are immunosuppressed
Those receiving cancer chemotherapy
- 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.)
It is a one-time vaccine.
The vaccine is recommended for patients 50 years of age and older.
The vaccine is used to prevent reactivation of the zoster virus that causes shingles.
