Nokea
A client who is right-handed is to receive a booster injection for a previous vaccination. The nurse prepares to administer the injection at which site?
- A. Right arm
- B. Left arm
- C. Right leg
- D. Left leg
Correct Answer: A
Rationale: The dominant arm (right arm) is used to aid absorption.
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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 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.
A nursing instructor is describing the concept of immunity. The instructor determines that the teaching was successful when the students identify that cell-mediated immunity protects the body against what type of infections? Select all that apply.
- A. Viral
- B. Protozoal
- C. Fungal
- D. Bacterial
- E. Helminth
Correct Answer: A,C,D
Rationale: Cell-mediated immunity protects the body against viral, bacterial, and fungal infections.
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 educating a group of nursing students on immunologic agents, the nurse explains about a particular kind of immunity that develops by injecting ready-made antibodies found in the serum of immune individuals or animals. Which of the following kinds of immunity is the nurse referring to?
- A. Active immunity
- B. Cell-mediated immunity
- C. Humoral immunity
- D. Passive immunity
Correct Answer: D
Rationale: Passive immunity involves injecting ready-made antibodies from immune individuals or animals.