Nokea
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.
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When describing humoral immunity to a group of nursing students, which of the following would the instructor most likely include? Select all that apply.
- A. B lymphocytes are involved.
- B. An antigen-antibody response occurs.
- C. An immunity that is independent of cell-mediated immunity occurs.
- D. T lymphocytes are activated.
- E. The immunity protects the body against bacterial, viral, and fungal infections.
Correct Answer: A,B
Rationale: Humoral immunity involves B lymphocytes and antigen-antibody responses, protecting against bacterial and viral infections.
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.
The parents of a child who is recovering from chickenpox tell the nurse that they gave the child aspirin for his fever. The nurse would be alert to the development of which of the following?
- A. Lymphoma
- B. Angioneurotic edema
- C. Acute renal failure
- D. Reye's syndrome
Correct Answer: D
Rationale: Aspirin use during chickenpox increases the risk of Reye's syndrome.
A nurse is caring for a client who has been bitten by a coral snake. Which of the following would the nurse expect to administer to this client?
- A. Antivenin
- B. Toxoid
- C. Vaccine
- D. Immune globulins
Correct Answer: A
Rationale: Antivenin is used for passive protection against coral snake venom.
Several clients have come to the clinic for immunizations. When reviewing their medical records, the nurse identifies which of the following as a contraindication for the administration of vaccines and toxoids? Select all that apply.
- A. Acute nonfebrile illness
- B. Leukemia
- C. Chronic prednisone therapy
- D. HIV
- E. Clients older than 70 years of age
Correct Answer: B,C,D
Rationale: Vaccines and toxoids are contraindicated in leukemia, immunosuppressive conditions like HIV, and chronic prednisone therapy.