Nokea
Vaccines containing live organisms are not administered to clients taking which of the following drugs as insufficient numbers of antibodies are produced to prevent the disease because these drugs suppress the immune system? Select all that apply.
- A. Methylprednisolone (Medrol)
- B. Ciprofloxacin (Cipro)
- C. Prednisolone (Orapred)
- D. Paclitaxel (Taxol)
- E. Vincristine (Oncovin)
Correct Answer: A,C,D,E
Rationale: Live vaccines are contraindicated with corticosteroids (methylprednisolone, prednisolone) and antineoplastic drugs (paclitaxel, vincristine) due to immune suppression.
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When educating a group of nursing students on immunologic agents, the nurse refers to a substance that is attenuated (or weakened) but still capable of stimulating the formation of antitoxins. The nurse determines that the teaching was successful when the students identify this substance as which of the following?
- A. Antivenins
- B. Toxoids
- C. Vaccines
- D. Immune globulins
Correct Answer: B
Rationale: Toxoids are weakened toxins that stimulate antitoxin formation.
Which of the following is an example of artificially acquired active 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 the varicella vaccine to an individual who has no immunity to the disease
- C. An individual who is exposed to pertussis for the first time and has no immunity to the disease
- D. Administration of the influenza vaccine to an individual who has no immunity to the disease
- E. Administration of the rubella vaccine to an individual who has no immunity to the disease
Correct Answer: B,D,E
Rationale: Artificially acquired active immunity occurs when an individual is given a killed or weakened antigen, which stimulates the formation of antibodies against the antigen. The antigen does not cause the disease, but the individual still manufactures specific antibodies against the disease.
A nursing instructor is describing the concept of immunity. The instructor determines that the teaching was successful when the students identify that cell-mediated immunity protects the body against what type of infections? Select all that apply.
- A. Viral
- B. Protozoal
- C. Fungal
- D. Bacterial
- E. Helminth
Correct Answer: A,C,D
Rationale: Cell-mediated immunity protects the body against viral, bacterial, and fungal infections.
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.
A nurse is required to administer a varicella vaccine to a female client planning to start a family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant?
- A. 2 weeks
- B. 4 weeks
- C. 8 weeks
- D. 12 weeks
Correct Answer: D
Rationale: Clients should wait 12 weeks after varicella vaccination before getting pregnant due to potential birth defects.