Author Question: A nurse is administering a mumps vaccine to an adolescent. Which of the following medications should ... (Read 32 times)

dollx · **on:** Jul 23, 2018

A nurse is administering a mumps vaccine to an adolescent. Which of the following medications should be available when administering an immunization?

A) Diphenhydramine (Benadryl)
B) Hydroxyzine (Vistaril)
C) Physostigmine
D) Epinephrine

Question 2

An adult patient has been taking oral prednisone for the treatment of an acute dermatological condition. When teaching this patient about this course of treatment, what teaching point should the nurse emphasize?

A) The need to supplement prednisone with high doses of vitamin D
B) The need to avoid drinking grapefruit juice for the duration of treatment
C) The importance of gradually reducing rather than abruptly stopping the drug
D) The importance of matching each day's dose to the severity of symptoms

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

Answer to Question 1

D
Feedback:
The administration of vaccines for immunization possesses the risk of an allergic reaction and anaphylaxis. The nurse should have aqueous epinephrine available in the event of an anaphylactic reaction. The administration of diphenhydramine or hydroxyzine will reduce the allergic reaction but will not be effective in the event of anaphylaxis. Physostigmine is not administered.

Answer to Question 2

C
Feedback:
Gradually tapering the dose is necessary for any systemic corticosteroid. It is not imperative to avoid grapefruit juice or take vitamin D supplements. Daily doses are not normally adjusted on the basis of short-term symptoms.