Nokea
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.
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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.
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.
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 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.