Nokea
A child is brought by his parents to the health care center for MMR vaccination. On taking the medical history, the nurse understands that the child had received an antivenin injection for a snake bite 2 days before. Which of the following is the most appropriate time period for administration of live vaccines to the confocal?
- A. After 1 to 2 weeks
- B. After 3 to 4 weeks
- C. After 4 to 5 weeks
- D. After 6 to 12 weeks
Correct Answer: D
Rationale: Live vaccines like MMR should be administered 6 to 12 weeks after antivenin to ensure effective immune response.
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After teaching a class to a group of nursing students about immunity, the instructor determines that the teaching was successful when the students identify which of the following as an example of passive immunity? Select all that apply.
- A. An individual who is exposed to chickenpox for the first time and has no immunity to the disease
- B. Administration of botulism immune globulin (BabyBIG) for the treatment of infant botulism
- C. An individual who is exposed to pertussis for the first time and has no immunity to the disease
- D. Administration of Crotalidae polyvalent immune Fab (CroFab) for the treatment of mild to moderate North American rattlesnake bites
- E. Administration of the rubella vaccine to an individual who has no immunity to the disease
Correct Answer: B,D
Rationale: Passive immunity occurs when immune globulins or antivenins are administered, providing ready-made antibodies from another human or animal.
A client comes to the clinic and tells the nurse that close family members are suspected of having pulmonary tuberculosis. Which of the following would the nurse recommend as a preventative measure?
- A. MMR vaccine
- B. DPT vaccine
- C. BCG vaccine
- D. IPV vaccine
Correct Answer: C
Rationale: BCG vaccine is used to prevent tuberculosis in high-risk populations.
Vaccines containing live organisms are not administered to clients taking which of the following drugs as insufficient numbers of antibodies are produced to prevent the disease because these drugs suppress the immune system? Select all that apply.
- A. Methylprednisolone (Medrol)
- B. Ciprofloxacin (Cipro)
- C. Prednisolone (Orapred)
- D. Paclitaxel (Taxol)
- E. Vincristine (Oncovin)
Correct Answer: A,C,D,E
Rationale: Live vaccines are contraindicated with corticosteroids (methylprednisolone, prednisolone) and antineoplastic drugs (paclitaxel, vincristine) due to immune suppression.
A nurse obtains a thorough allergy history prior to administering vaccines to a client. An allergy to which of the following would alert the nurse to a contraindication for administering the measles, mumps, rubella, and varicella vaccines? Select all that apply.
- A. Eggs
- B. Pollen
- C. Gelatin
- D. Amoxicillin
- E. Neomycin
Correct Answer: C,E
Rationale: Allergies to gelatin or neomycin are contraindications for measles, mumps, rubella, and varicella vaccines.
A nurse is preparing to administer an immunologic drug that produces active immunity. Which of the following might the nurse be administering? Select all that apply.
- A. Vaccines
- B. Antibodies
- C. Toxoids
- D. Antigens
- E. Immune globulin
Correct Answer: A,C
Rationale: Both vaccines and toxoids are administered to stimulate the body's immune response to specific antigens or toxins, producing active immunity.