Nokea
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.
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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.
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.
A nurse is teaching a client about the use of immune globulin. Which of the following would the nurse include? Select all that apply.
- A. Globulins are proteins present in blood serum or plasma that contain antibodies.
- B. Globulins are given to provide active immunity against disease.
- C. Immune globulin can be obtained from human and animal blood.
- D. Clients receiving immune globulins receive antibodies only to the diseases to which donor blood is immune.
- E. The onset of protection is rapid but the duration of action is long (6 to 12 months).
Correct Answer: A,C,D
Rationale: Globulins are proteins containing antibodies, can be obtained from human or animal blood, and provide passive immunity with rapid onset but short duration (1 to 3 months).
A nurse should screen clients of childbearing age for pregnancy as the administration of which of the following vaccines is contraindicated during pregnancy? Select all that apply.
- A. Influenza
- B. Varicella
- C. Measles
- D. Mumps
- E. Rubella
Correct Answer: B,C,D,E
Rationale: Measles, mumps, rubella, and varicella vaccines are contraindicated during pregnancy due to potential birth defects.
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.