Nokea
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.
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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 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.
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 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.
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.