Nokea
A nurse is teaching a client about the use of immune globulin. Which of the following would the nurse include? Select all that apply.
- A. Globulins are proteins present in blood serum or plasma that contain antibodies.
- B. Globulins are given to provide active immunity against disease.
- C. Immune globulin can be obtained from human and animal blood.
- D. Clients receiving immune globulins receive antibodies only to the diseases to which donor blood is immune.
- E. The onset of protection is rapid but the duration of action is long (6 to 12 months).
Correct Answer: A,C,D
Rationale: Globulins are proteins containing antibodies, can be obtained from human or animal blood, and provide passive immunity with rapid onset but short duration (1 to 3 months).
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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.
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.
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.
A nurse should include which of the following information when educating the client's parents on the varicella vaccine? Select all that apply.
- A. Explain the risk of contracting vaccine-preventable diseases.
- B. Explain the benefits of immunization.
- C. Provide the date for return for the next vaccination.
- D. Discuss common adverse reactions.
- E. Instruct the parents to bring immunization records to all visits.
Correct Answer: A,B,C,D,E
Rationale: Parental education includes risks of diseases, benefits of immunization, next vaccination date, adverse reactions, and the need to bring immunization records.
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.