ATI RN
Immune System Drugs Questions
Question 1 of 4
Which virus has been associated with posttransplant lymphoproliferative disorder?
Correct Answer: C
Rationale: Rationale: 1. Posttransplant lymphoproliferative disorder (PTLD) is linked to Epstein-Barr virus (EBV). 2. EBV infects B cells and can lead to lymphoproliferative disorders, especially in immunocompromised individuals. 3. In transplant recipients, EBV reactivation can cause PTLD due to suppressed immune function. 4. Cytomegalovirus, Herpes simplex virus, and Human immunodeficiency virus are not typically associated with PTLD. Summary: - A: Cytomegalovirus is not the correct answer as it is not primarily linked to PTLD. - B: Herpes simplex virus does not cause PTLD; it mainly causes cold sores and genital herpes. - D: Human immunodeficiency virus can lead to AIDS-related lymphomas but is not the primary virus associated with PTLD.
Question 2 of 4
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 varicella vaccine to a pregnant woman can pose serious risks to the fetus, including birth defects. This finding has the greatest implication for care as it involves the safety and well-being of both the woman and the unborn child. A: Fear of needles is a common issue that can be managed with appropriate support and techniques. B: Allergy to eggs is a contraindication for receiving the varicella vaccine, but alternative vaccines can be considered. C: Past history of leukemia as a child may affect the immune response to the vaccine, but it is not as critical as pregnancy in this scenario.
Question 3 of 4
The nurse is preparing to administer routine, recommended immunizations to an immunocompromised 1-year-old child. What is the most important information to know before administering a vaccination?
Correct Answer: A
Rationale: The correct answer is A because knowing the type of vaccine is crucial for immunocompromised children to ensure the vaccine is appropriate and safe. For an immunocompromised child, certain live vaccines may be contraindicated due to the risk of causing severe infections. Option B is not as critical as the type of vaccine. Option C, while important, does not address the specific safety concerns for an immunocompromised child. Option D is also important but does not directly impact the safety of the upcoming vaccination. Therefore, understanding the type of vaccine is the most crucial information before administering it to an immunocompromised child.
Question 4 of 4
Which of the following patients would be eligible to receive the influenza vaccine?
Correct Answer: B
Rationale: The correct answer is B, the pregnant patient. Pregnant individuals are recommended to receive the influenza vaccine to protect both themselves and their unborn child. Pregnant women are at higher risk of complications from the flu. Choice A is incorrect because caregivers of immunocompromised individuals are not in the high-risk group for influenza. Choice C is incorrect because there are egg-free influenza vaccine options available for patients with egg allergies. Choice D is incorrect because the influenza vaccine is not recommended for children under 6 months, and 18 months old is below the recommended age for vaccination.