Author Question: An adult client is receiving hepatitis B (Engerix-B) injections. The nurse anticipates that the ... (Read 59 times)

Yi-Chen · **on:** Jul 24, 2018

An adult client is receiving hepatitis B (Engerix-B) injections. The nurse anticipates that the client will receive these injections on which schedule?

1. The first dose at age 11 or 12 years, the second dose 2 months after the first dose, and the third dose 6 months after the first dose
2. First dose followed by a booster 612 months later
3. Single annual dose
4. Three doses, with the second dose 30 days after the first and the final dose 6 months after the first

Question 2

An inpatient client with COPD has been diagnosed with allergic rhinitis and is given an antihistamine. What is a priority for the nurse when providing care to this client?

1. Keeping resuscitative equipment accessible
2. Premedicating with acetaminophen (Tylenol)
3. Consulting the physician before administering
4. Administering before client starts wheezing

batool · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 3

Rationale 1: This is the schedule for human papillomavirus (Gardasil) for females.
Rationale 2: This is the dosing schedule for hepatitis A.
Rationale 3: This is the schedule for influenza vaccine.
Rationale 4: Hepatitis B vaccine should be administered as three doses, with the second dose 30 days after the first and the final dose 6 months after the first.

Global Rationale: Hepatitis B vaccine should be administered as three doses, with the second dose 30 days after the first and the final dose 6 months after the first. The first dose at age 11 or 12 years, the second dose 2 months after the first dose, and the third dose 6 months after the first dose is incorrect because this is theschedule for the human papillomavirus (Gardasil) for females. First dose followed by a booster 612 months later is incorrect because this is the dosing schedule for hepatitis A. Single annual dose is incorrect because this is the schedule for influenza vaccine.

Answer to Question 2

Correct Answer: 1

Rationale 1: COPD clients on antihistamine therapy should be monitored, as the anticholinergic effects of antihistamines can trigger bronchospasm. Resuscitative equipment should always be accessible.
Rationale 2: Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.
Rationale 3: Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.
Rationale 4: Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.

Global Rationale: COPD clients on antihistamine therapy should be monitored, as the anticholinergic effects of antihistamines can trigger bronchospasm. Resuscitative equipment should always be accessible. Premedicating with acetaminophen, giving before the client starts wheezing, and consulting the physician for an ordered medication are not indicated.