ATI RN
Immune System Drugs Questions
Question 1 of 5
The nurse is preparing to administer varicella vaccine to a young woman. Which of the following findings has the greatest implication for this young woman's care?
Correct Answer: D
Rationale: The correct answer is D because administering the varicella vaccine to a pregnant woman can pose risks to both the woman and the fetus. Varicella vaccine is a live attenuated vaccine and is contraindicated during pregnancy due to the potential risk of transmitting the virus to the fetus. This can lead to congenital varicella syndrome, which can cause serious birth defects. Choice A is not the correct answer as fear of needles can be managed with appropriate nursing interventions. Choice B is not the correct answer because while the varicella vaccine is produced in chick embryo cell cultures, the risk of an allergic reaction in someone with a history of egg allergy is low. Choice C is not the correct answer as a history of leukemia as a child is not a contraindication to receiving the varicella vaccine.
Question 2 of 5
Which of the following patients would be eligible to receive the influenza vaccine?
Correct Answer: B
Rationale: The correct answer is B, the patient who is pregnant. Pregnant individuals are at higher risk of complications from influenza and are recommended to receive the influenza vaccine to protect themselves and their unborn child. A: The patient taking care of her son with HIV should also receive the influenza vaccine to prevent transmission, but this alone does not make her eligible for the vaccine. C: Patients with egg allergy can receive the influenza vaccine with appropriate precautions, so this does not automatically disqualify them. D: The child who is 18 months old is eligible for the influenza vaccine, but pregnant individuals are at higher risk, hence B is the correct answer.
Question 3 of 5
The health care provider plans to inject an interferon directly into the patient's wart. What interferon will the nurse prepare?
Correct Answer: C
Rationale: Rationale: The correct answer is C, Interferon alfa n3 (Alferon N), because it is specifically approved for the treatment of warts caused by human papillomavirus (HPV). Alferon N has been shown to have antiviral activity against HPV, making it the most suitable choice for injecting directly into the wart. Interferon alfa 2a (A), Interferon alfacon 1 (B), and Interferon beta 1a (D) are not specifically indicated for the treatment of warts caused by HPV, making them incorrect choices for this scenario.
Question 4 of 5
The nurse has an order to administer oprelvekin (Neumega) to a patient for the first time. Before administering the drug, what allergy would the nurse want to specifically question the patient about?
Correct Answer: B
Rationale: The correct answer is B: Escherichia coli-produced products. Oprelvekin is produced using genetically modified E. coli bacteria. The nurse should question the patient about any allergies to E. coli-produced products to prevent an allergic reaction. Choices A, C, and D are incorrect because oprelvekin is not derived from egg products, lactose, or penicillin.
Question 5 of 5
A patient who is receiving an immune suppressant has been admitted to the unit. What would be a priority action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Protect the patient from exposure to infection. This is the priority action because immune suppressants weaken the immune system, making the patient more susceptible to infections. By protecting the patient from exposure to infection, the nurse can prevent potential complications and promote the patient's safety. Monitoring nutritional status (A) is important but not as critical as preventing infections. Patient teaching (B) and providing support for adverse effects (D) can be addressed after ensuring the patient's safety from infections.