Author Question: The nurse is presenting an educational event about vaccines at a local elementary school. When ... (Read 58 times)

Bernana · **on:** Jul 23, 2018

The nurse is presenting an educational event about vaccines at a local elementary school. When talking about vaccines, the nurse explains they are generally contraindicated in what situations?

A) In people who have renal impairment
B) In people who have hepatic failure
C) In people who are immunosuppressed
D) In people who are over 65

Question 2

Overuse of anti-infective agents is known to contribute to the onset of superinfections in the body. What is a causative agent of a superinfection?

A) Escherichia coli
B) Probenecid
C) Protozoans
D) Pseudomonas

al · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
The use of vaccines is contraindicated in the presence of immune deficiency because the vaccine could cause disease and the body would not be able to respond as anticipated if in an immunodeficient state, during pregnancy because of potential effects on the fetus and on the success of the pregnancy, in patients with known allergies to any of the components of the vaccine (refer to each individual vaccine for specifics, sometimes including eggs, where some pathogens are cultured), or in patients who are receiving immune globulin or who have received blood or blood products within the last 3 months because a serious immune reaction could occur. Vaccines are not contraindicated in people with renal impairment or who have hepatic failure nor are they contraindicated in people over the age of 65.

Answer to Question 2

D
Feedback:
Common superinfections include vaginal or gastrointestinal yeast infections, which are associated with antibiotic therapy, and infections caused by Proteus and Pseudomonas throughout the body, which are a result of broad-spectrum antibiotic use. Probenicid is a medication, not a causative organism. Protozoa and E. coli do not usually cause superinfections.