Nokea
A client is traveling to a foreign country. A nurse should recommend vaccination against which of the following before travel to endemic areas? Select all that apply.
- A. Varicella
- B. Diphtheria
- C. Lyme disease
- D. Tetanus
- E. Cholera
Correct Answer: B,C,E
Rationale: Vaccinations for cholera, diphtheria, and Lyme disease are recommended for travel to endemic areas.
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A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)? Select all that apply.
- A. Chills
- B. Fever
- C. Hypotension
- D. Lethargy
- E. Muscle aches
Correct Answer: A,B,D,E
Rationale: Adverse reactions to influenza vaccine are usually mild, including chills, fever, muscle aches, and lethargy. Hypotension is not typically associated.
A forest ranger arrives at a community clinic for prophylactic vaccination. Which of the following vaccines would be most important to be administered to the ranger?
- A. MMR vaccine
- B. Varicella vaccine
- C. Rotavirus vaccine
- D. Rabies vaccine
Correct Answer: D
Rationale: Rabies vaccine is critical for forest rangers due to potential animal exposure.
When administering antivenin to a client, the nurse is aware that this drug is used for passive, transient protection from which of the following bites? Select all that apply.
- A. Black widow spider
- B. Canine
- C. Human
- D. Rattlesnake
- E. Copperhead snake
Correct Answer: A,D,E
Rationale: Antivenins provide passive, transient protection from bites by black widow spiders, rattlesnakes, copperhead snakes, cottonmouth snakes, and coral snakes.
Which of the following is an example of artificially acquired active 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 the varicella vaccine to an individual who has no immunity to the disease
- C. An individual who is exposed to pertussis for the first time and has no immunity to the disease
- D. Administration of the influenza vaccine to an individual who has no immunity to the disease
- E. Administration of the rubella vaccine to an individual who has no immunity to the disease
Correct Answer: B,D,E
Rationale: Artificially acquired active immunity occurs when an individual is given a killed or weakened antigen, which stimulates the formation of antibodies against the antigen. The antigen does not cause the disease, but the individual still manufactures specific antibodies against the disease.
A nurse is educating a group of nursing students about the immediate reactions that may occur after administering antivenins. Within which of the following time periods will the immediate reaction be seen if the client is sensitive to the antivenin?
- A. 30 minutes
- B. 60 minutes
- C. 90 minutes
- D. 120 minutes
Correct Answer: A
Rationale: Immediate hypersensitivity reactions to antivenins typically occur within 30 minutes.