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P A R T 3
Drugs acting on the immune system
4.
The health professional recommends that
older adults and people who are at high risk of
complications of influenza should receive a flu
vaccine every autumn based on the understanding
that the vaccine is repeated because:
a.
the immunity wears off after a year.
b.
the strains of virus predicted to cause the flu
change every year.
c.
a booster shot will activate the immune system.
d.
older people do not produce good antibodies.
5.
The care provider reviews a person’s record to make
sure that tetanus booster shots have been given:
a.
only with exposure to anaerobic bacteria.
b.
every 2 years.
c.
every 5 years.
d.
every 10 years.
6.
A health professional suffers a needle stick injury
after injecting a person with suspected hepatitis B.
The health professional should:
a.
have repeated titres to determine whether she
was exposed to hepatitis B and, if she was, have
hepatitis immunoglobulin.
b.
immediately receive hepatitis immunoglobulin
and begin hepatitis B vaccines if she has not
already received them.
c.
start antibiotic therapy immediately.
d.
go on sick leave until all screening tests are
negative.
7.
A person is to receive immunoglobulin after
exposure to hepatitis A. The person has a previous
history of allergies to various drugs. Before giving
the immunoglobulin, the nurse or midwife should:
a.
have emergency equipment readily available.
b.
premedicate the person with aspirin.
c.
make sure all of the person’s vaccinations are up
to date.
d.
make sure the person has a ride home.
MULTIPLE RESPONSE
Select all that apply.
1.
A public education campaign to stress the
importance of childhood immunisations should
include which of the following points?
a.
Prevention of potentially devastating diseases
outweighs the discomfort and risks of
immunisation.
b.
Routine immunisation is standard practice in
Australia and New Zealand.
c.
The practice of routine immunisations has
virtually wiped out many previously deadly or
debilitating diseases.
d.
The risk of severe adverse reactions is on the rise
and is not being addressed.
e.
If there is a family history of autism, that person
should avoid immunisations.
f.
The temporary discomfort associated with the
immunisation can be treated with over-the-
counter drugs.
2.
A mother brings her child to his 18-month maternal
and child health centre visit. The health professional
would not give the child his routine immunisations
in which of the following situations?
a.
He cried at his last immunisation.
b.
He developed a fever or rash after his last
immunisation.
c.
He currently has a fever and symptoms of a cold.
d.
He is allergic to aspirin.
e.
He is currently taking oral corticosteroids.
f.
His siblings are all currently being treated for a
viral infection.
3.
When assessing the medical record of an older adult
to evaluate the status of his immunisations, the
nurse would be looking for evidence of which of the
following?
a.
yearly pneumococcal vaccination
b.
yearly flu vaccination
c.
tetanus booster every 10 years
d.
tetanus booster every 5 years
e.
measles, mumps, rubella (MMR) vaccine if the
person was born after 1957
f.
varicella vaccine only if there is evidence that the
person had chickenpox as a child
