In a nursing class, the instructor is discussing the differences ...

[Bob-Dole]

In a nursing class, the instructor is discussing the differences between acellular vaccines and toxoids. The students are able to identify acellular vaccines because:
 
  1. The vaccines produce a toxin to get an immune response.
   2. The vaccine has a whole viral protein cell, unlike the toxoids.
   3. The vaccine has fragments of cells to stimulate an immune response.
   4. The vaccine is inactive and produced by whole cell bacteria.

Question 2

The assessment a nurse performed on a 12-year-old boy demonstrated a positive Kernig's sign and a Brudzinski's sign. Identify the priority for the nurse's next action.
 
  1. Document the findings and note as normal.
   2. Further assess the neurological function of the child and call the doctor with a report.
   3. Explain to the patient that the assessment was abnormal and there is no a cause for concern.
   4. Prepare the child for a lumbar puncture.

[SeanoH09]

Answer to Question 1

3
Feedback
1. The toxin does not produce the immune response.
2. The cell proteins are not whole.
3. Fragments of the cell cause the immune response.
4. The vaccine is active and requires stimulation to create the immune response.

Answer to Question 2

2
Feedback
1. These findings are abnormal and need further neurological testing.
2. Further assessment is needed because these signs should not be present in a 12-year-old child.
3. Explaining the situation to the patient is important, but there is s possible neurological issue that needs to be addressed with further diagnostic testing.
4. A lumbar puncture is invasive, and other tests should be done before the procedure.

[Bob-Dole]

TYSM

[milbourne11]

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