Abrams' Clinical Drug Therapy Rationales for Nursing Practice by Geralyn Frandsen -Test Bank
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Course
Nursing
Institution
Nursing
1. A woman has been prescribed paroxetine hydrochloride, which is an antidepressant agent administered in pill form. The medication is administered for her obsessive-compulsive disorder. This medication will produce which of the following effects?
A) Curative
B) Systemic
C) Local
D) Parenteral
...
, 1. An infant is being administered an immunization. Which of the following provides an
accurate description of an immunization?
A) It should be administered to a pregnant woman prior to the infant's birth.
B) It is the administration of an antigen for an antibody response.
C) It produces many adverse reactions, particularly autism, in the infant.
D) It protects the infant from exposure to infectious antibodies.
Chapter 10- Drug Therapy- Immunizations
2. A patient is scheduled to receive an immunization. In which of the following patients
may the administration of a live vaccine be contraindicated?
A) Patient with renal insufficiency
B) Patient with hepatic failure
C) Patient taking steroid therapy
D) Patient over the age of 65 years
3. A patient is to be administered an immunization. The serum contains aluminum
phosphate. What route is most appropriate to administer this immunization?
A) Intramuscularly
B) Subcutaneously
C) Intravenously
D) Orally
4. A patient has received a rubella immunization. The patient was unaware that she was
pregnant. What risk is associated with the administration of the rubella immunization in
this patient?
A) Risk of development of the disease in the newborn
B) Risk of low infant birth weight
C) Risk of preterm labor
D) Risk of birth defects
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,5. The college health nurse is providing health education for freshmen. Which of the
following pieces of information about immunizations is applicable to individuals of this
age group?
A) The oral polio should be updated.
B) The yearly administration of flu vaccine is recommended.
C) The tetanus toxoid must be within 2 years.
D) The administration of hepatitis A vaccine is mandatory.
6. A nursing student is scheduled to receive the hepatitis B series. What type of immunity
will this immunization provide?
A) Active immunity
B) Passive immunity
C) Innate immunity
D) Natural immunity
7. It is important for the nurse to stay informed of the most current recommendations for
immunizations. Which of the following sources is most accurate regarding
immunization guidelines?
A) American Academy of Pediatrics
B) American Academy of Family Physicians
C) American Academy of Infectious Disease Physicians
D) Centers for Disease Control and Prevention
8. An infant is seen in the clinic for her first immunizations. When providing patient
teaching to the parent, which of the following is no longer recommended for
administration?
A) Rubella and mumps vaccine
B) Polio vaccine
C) Diphtheria, pertussis, and tetanus vaccine
D) Smallpox vaccine
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, 9. The nurse is preparing to administer a vaccine to a newborn. Before administering the
vaccine, the nurse should
A) warm the vaccine to well above room temperature.
B) vigorously massage the chosen injection site.
C) check the infant's temperature.
D) divide the dose for administration to three injection sites.
10. A nurse is administering a mumps vaccine to an adolescent. Which of the following
medications should be available when administering an immunization?
A) Diphenhydramine (Benadryl)
B) Hydroxyzine (Vistaril)
C) Physostigmine
D) Epinephrine
11. A public health nurse is responsible for the administration of numerous immunizations.
Which of the following guidelines regarding anaphylaxis should the nurse adhere to?
A) The patient should be observed for anaphylaxis for 1 minute after administration.
B) The patient should be observed for anaphylaxis for 5 minutes after administration.
C) The patient should be observed for anaphylaxis for 30 minutes after
administration.
D) The patient should be observed for anaphylaxis for 90 minutes after
administration.
12. When instructing the parents of a child who has received immunization in the vastus
lateralis, which reaction is most common in the days after the administration?
A) Nausea, vomiting, and diarrhea
B) Rash and edema
C) Weakness and difficulty walking
D) Tenderness and redness at the site
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