Nokea
When describing humoral immunity to a group of nursing students, which of the following would the instructor most likely include? Select all that apply.
- A. B lymphocytes are involved.
- B. An antigen-antibody response occurs.
- C. An immunity that is independent of cell-mediated immunity occurs.
- D. T lymphocytes are activated.
- E. The immunity protects the body against bacterial, viral, and fungal infections.
Correct Answer: A,B
Rationale: Humoral immunity involves B lymphocytes and antigen-antibody responses, protecting against bacterial and viral infections.
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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.
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.
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.
After administering the pneumococcal vaccine (Pneumovax) to a client, the nurse documents which of the following in the client's chart? Select all that apply.
- A. Date of next vaccination
- B. Vaccine lot number
- C. Vaccine expiration date
- D. Route and site of vaccine administration
- E. Name, address, and title of client vaccinated
Correct Answer: B,C,D
Rationale: Documentation includes vaccine lot number, expiration date, and route/site of administration.
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.