Author Question: A client who is going to Africa requires vaccination against hepatitis A. How should the nurse ... (Read 95 times)

melina_rosy · **on:** Jul 23, 2018

A client who is going to Africa requires vaccination against hepatitis A. How should the nurse schedule the three injections needed for this vaccination?

Standard Text: Select all that apply.
1. Give the first of the series today.
2. Give the second of the series tomorrow.
3. Give all three injections today.
4. Give the third injection of the series in 8 weeks.
5. Give the next two injections at least 8 weeks apart.

Question 2

Which clients would the nurse identify as acceptable candidates for live, attenuated intranasal vaccine (LAIV) for influenza?

Standard Text: Select all that apply.
1. A 25-year-old woman who is in the third trimester of pregnancy
2. A 3-year-old going to daycare for the first time
3. A 65-year-old resident of an assisted living community
4. A 24-year-old male who works in an inner-city homeless shelter
5. A 17-year-old soccer player

nikmaaacs · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,4
Rationale 1: The first injection of the series could be given today.
Rationale 2: There must be a 4-week wait between injections in the series.
Rationale 3: There is a wait time between injections.
Rationale 4: If an injection is given today, the second of the series could be given in 4 weeks, and the third of the series in 8 weeks.
Rationale 5: The injections are given 4 weeks apart.
Global Rationale: For individuals traveling to endemic regions, three doses may be given with 4 weeks between the three injections.

Answer to Question 2

Correct Answer: 2,4,5
Rationale 1: LAIV is not recommended for pregnant women.
Rationale 2: LAIV is recommended for healthy people ages 249.
Rationale 3: The upper limit of age recommended for LAIV is 49.
Rationale 4: As long as this client is healthy, he falls within the 249 age level.
Rationale 5: Healthy people ages 249 are eligible for this form of vaccine.
Global Rationale: The live, attenuated intranasal vaccine (LAIV) is delivered as a nasal spray to healthy people 2 to 49 years of age who are not pregnant.