Test bank for introduction to clinical pharmacology 8th edition by edmunds download

400 OBJ: 1 MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 2.. KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment: Safety and Inf

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Test Bank for Introduction to Clinical Pharmacology 8th Edition by Edmunds

Chapter 19: Immunologic Medications

Edmunds: Introduction to Clinical Pharmacology, 8th Edition

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DIF: Cognitive Level: Remember REF: p 400

OBJ: 1

MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control

2 TD (tetanus and diphtheria) boosters are recommended at

TD (tetanus and diphtheria) boosters are recommended every 10 years

KEY: Nursing Process Step: Planning

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3 A patient comes into the clinic with complaints of a cold He is also there for a flu shot Which represents the reason a flu shot is not

recommended in this case?

Process Step: Planning

4 The nurse would recommend a yearly influenza virus vaccine to which person?

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MSC: NCLEX: Physiological Integrity

5 Protection from which infectious disease can be offered by routine immunization with PCV (children) or PPV (adults) vaccine?

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c Cholera

ANS: A

Pneumococcal conjugate vaccine (PCV) for children and pneumococcal

polysaccharide vaccine (PPV) for adults produce immunity against a variety of pneumococcal infections Since Streptococcus pneumoniae is responsible for illnesses ranging from ear infections to meningitis, blood infections, and

pneumonia, the Centers for Disease Control and Prevention recommend the polyvalent pneumococcal vaccines for all children and susceptible adults

Diagnosis

6 Which patient is at an increased risk if using an immunologic agent?

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d A pilot

ANS: C

There is an increased risk in using immunologic agents in any person with a compromised immune status, for example, neonates, older adult patients, and patients on immunosuppressive therapy

Process Step: Assessment

7 The nurse observes the arm of a patient who was given the Mantoux skin test for tuberculosis There is induration of 3 mm How should the nurse document the results?

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ANS: A

The Mantoux test is designed to identify people with active tuberculosis,

with exposure to tuberculosis, or needing further testing Positive reaction must have erythema and induration of 9 mm or more in size; a reaction of 5

to 9 mm is questionable, and areas under 5 mm are negative

OBJ: 5 TOP: Tuberculosis Testing

KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological

Integrity

8 A child is scheduled for immunizations, but the mother states that his temperature has been 100.2° F all day The nurse will take which action next?

ANS: B

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Many children are taken to the health care provider only when they are ill, so clinicians may have to give the immunizations then Otherwise, they may lose a very valuable opportunity to provide increased protection to the child

Process Step: Implementation

9 Which patient should take the varicella vaccine?

ANS: B

In special circumstances, certain biologic agents may be used to modify

a disease process in the previously unimmunized person

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OBJ: 2 TOP: Immunizations

KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological

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11 A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child Which would be the nurse’s best response to the mother?

screen for exposure to which disease?

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Purified protein derivative (PPD) is used to screen people who have

been exposed to tuberculosis

ursing Process Step: N/A

KEY: N

active immunizations?

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c Antigens

ANS: B

Toxoids are biologic agents used in the routine schedule of active

immunizations for adults and children

Process Step: N/A

certain disease?

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ANS: D

Occasionally, determining antibody blood titers before vaccine

administration is helpful to assess antibody development

Process Step: Diagnosis

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DIF: Cognitive Level: Understand REF: p 401 OBJ: 2

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

vaccine?

Process Step: Diagnosis

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17 Why is it important for the nurse giving a vaccine to know

whether the patient has an allergy to eggs and feathers?

ANS: A

Many biologic agents are prepared with animal serum or chick embryos; thus, people with known allergies may have sensitivity reactions to these

preparations

having the disease is an example of which kind of immunity?

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After getting chickenpox, a child develops antibodies to the virus that travel

N/A

grade school should be screened for current illness before receiving her

immunizations?

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c She has another year before she needs them

ANS: B

Patients should be screened for current illness because there is an increased risk in using immunologic agents in people with compromised immune status

toxoid after she cut her finger, since she already had a shot when she was a child What should the nurse explain the booster produces?

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d Passive immunity

ANS: C

Some diseases require periodic booster injections of vaccine to keep the antibody level high enough to protect the patient

body?

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ANS: D

The immune system is a part of the lymphatic system, which removes foreign substances from the blood and lymph

MSC: NCLEX: N/A

childhood illnesses until he developed chickenpox What is the

best explanation of this situation made by the nurse to the patient?

immunity

ANS: B

Some early immunizations lose their ability to provide long-term immunity

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DIF: Cognitive Level: Apply REF: p 401 OBJ: 2

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24 A female patient brings her newborn in to the clinic for

immunizations During the visit, the patient asks the nurse what is

naturally acquired passive immunity What is the best example

provided by the nurse?

MULTIPLE RESPONSE

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25 Pneumococcal vaccine produces immunity against which

illnesses? (Select all that apply.)

Process Step: N/A

MSC: NCLEX: N/A

which diseases? (Select all that apply.)

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after immunization injections? (Select all that apply.)

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toxoids? (Select all that apply.)

immunization

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b They are biologic agents that produce passive

immunization

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