ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 49 : Immunizing Drugs Questions
Question 1 of 5
A 45-year-old man has received a series of immunizing drugs in preparation for a trip to a developing country. Within hours, his wife brings him to the emergency department because he has developed edema of the face, tongue, and throat and is having trouble breathing. The nurse suspects that, based on the patient's history and symptoms, he is experiencing which condition?
Correct Answer: D
Rationale: The symptoms of edema of the face, tongue, and throat along with difficulty breathing suggest an anaphylactic reaction, which is a severe allergic response that can occur after receiving immunizing drugs. Serum sickness is characterized by symptoms like fever, rash, and joint pain, typically appearing days to weeks after exposure. Cross-sensitivity refers to allergic reactions to related substances, and thrombocytopenic purpura involves bleeding issues due to low platelet counts, neither of which match the described symptoms.
Question 2 of 5
A 12-month-old infant has received an MMR II (measles, mumps, and rubella virus vaccine), and her mother calls the clinic that afternoon to ask about helping her fussy infant to 'feel better.' What will the nurse suggest?
Correct Answer: B
Rationale: Applying warm compresses to the injection site and using acetaminophen (not aspirin, which carries the risk for Reye's syndrome) should help to relieve the discomfort. The other options are incorrect.
Question 3 of 5
A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?
Correct Answer: C
Rationale: Hepatitis B immunoglobulin provides passive immunity for individuals exposed to hepatitis B, such as through a needle stick. The hepatitis B virus vaccine promotes active immunity, not passive. The other options are not appropriate for this situation.
Question 4 of 5
A nurse is working in an immunization clinic. A new colleague asks, 'When is the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine given?' The nurse knows that this series is started at what age?
Correct Answer: B
Rationale: The first dose of the DTaP vaccine series is given at 6 weeks of age. The other options are incorrect.
Question 5 of 5
A patient is in the urgent care center after experiencing a black widow spider bite. The nurse prepares to give which product to treat this injury?
Correct Answer: B
Rationale: Antivenins, also known as antisera, are used to prevent or minimize the effects of poisoning by poisonous snakes and spiders. They provide the person who has been bitten with the substance needed to overcome the effects of the venom.