The following is/are true about 4C Men B protein vaccine (Bexsero®)

Correct Answer: B

Rationale: The correct answer is B) In the routine immunization schedule, the 4C Men B protein vaccine (Bexsero®) is given at 2 and 4 months with a booster at 12-13 months. This is the correct option because the vaccine schedule for Bexsero® follows this specific timing for optimal protection against meningococcal disease caused by serogroup B. By administering the vaccine at these intervals, the individual receives the necessary doses to develop a robust immune response. Option A is incorrect because the 4C Men B protein vaccine is not supplied as a vial of white powder with a separate diluent. It is usually a pre-filled syringe that does not require reconstitution. Option C is incorrect as the vaccine schedule does not include doses at 2, 3, and 4 months but rather at 2 and 4 months with a booster later. Option D is also incorrect because the vaccine is not recommended as a single dose for students attending university for the first time; instead, it follows the recommended schedule for infants and young children. In an educational context, understanding the correct vaccine schedule is crucial for healthcare professionals, especially nurses and doctors involved in administering vaccines. Knowledge of the specific dosing intervals and schedules ensures that individuals receive the full benefit of the vaccine and are adequately protected against meningococcal disease. Educating healthcare providers on vaccine schedules helps in effective immunization practices and ultimately in preventing the spread of infectious diseases.

Correct Answer: D

Rationale: Infection prevention and control are crucial aspects of healthcare, especially when it comes to preventing diseases like pneumococcal infections. The correct answer, D) Other people with severe immuno-compromising conditions, should not receive pneumococcal vaccines because individuals with severely compromised immune systems may not mount an effective immune response to the vaccine, rendering it less effective and potentially increasing the risk of adverse reactions. Pregnant women, option A, are actually recommended to receive the pneumococcal vaccine as they are at an increased risk of developing complications from pneumococcal infections during pregnancy. Premature infants, option B, are also recommended to receive the vaccine to protect them from serious infections. HIV positive people, option C, are at higher risk of pneumococcal infections due to their compromised immune systems and are therefore recommended to receive the vaccine. Educationally, it is important to understand the rationale behind vaccine recommendations to make informed clinical decisions. Knowing which populations should receive specific vaccines based on their individual risk factors is crucial in providing optimal care and preventing the spread of infectious diseases. Understanding the contraindications for vaccines is equally important to ensure patient safety and efficacy of vaccination strategies.

Correct Answer: B

Rationale: The correct answer is B: Use a mechanical lift. This is the safest option as it reduces the risk of injury to both the client and the caregiver. Step 1: Position the mechanical lift beside the bed. Step 2: Secure the client in the lift sling. Step 3: Activate the lift to raise the client. Step 4: Move the client to the chair. Using a slide board (A) may not provide enough support for a paralyzed client's first transfer. A gait belt (C) may not be sufficient for a paralyzed client and could lead to falls. Notifying the client's doctor (D) should not be the first step in a transfer situation.

Correct Answer: C

Rationale: The correct answer is C: Assess the client. This is the first crucial step after an accident to ensure the client's immediate safety and well-being. By assessing the client, you can quickly identify any injuries or medical conditions that require immediate attention. This step helps in determining the appropriate course of action, whether to render care, notify the doctor, or inform the nurse manager. Choice A (Notify the doctor) is incorrect as assessing the client's condition should precede contacting the doctor. Choice B (Render care) is also incorrect because without proper assessment, providing care may lead to further harm. Choice D (Notify the nurse manager) is not the immediate priority compared to assessing the client's condition for timely intervention.

Correct Answer: A

Rationale: The correct answer is A because sterile items should be placed exclusively on a sterile field to prevent contamination. Placing non-sterile items on the field would compromise its sterility. Option B is incorrect as the sterile field should be kept above waist level to minimize potential contamination. Option C is incorrect as coughing or sneezing over the sterile field can introduce pathogens. Option D is incorrect as the entire sterile field should be considered sterile, with no designated non-sterile border.