Nokea
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.
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A nurse identifies a nursing diagnosis of Acute Pain for a client receiving a vaccine. Which of the following would the nurse include in the client's plan of care to address this problem? Select all that apply.
- A. Administering acetaminophen every 4 hours
- B. Providing for adequate rest periods
- C. Ensuring that the environment is stimulating
- D. Applying compresses to the injection site
- E. Limiting the client's access to funds
Correct Answer: A,B,D
Rationale: Acetaminophen, rest, and compresses help manage vaccine-related pain.
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.
After teaching a group of nursing students about the various immunologic drugs, the instructor determines that the teaching was successful when the students identify which of the following as a viral vaccine? Select all that apply.
- A. Haemophilus influenza type B conjugate
- B. Typhoid
- C. Mumps
- D. Avian influenza
- E. Rabies
Correct Answer: C,D,E
Rationale: Mumps, avian influenza, and rabies are viral vaccines.
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.
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.