Author Question: The primary care NP performs a physical examination on an 89-year-old patient who is about to enter ... (Read 95 times)

genevieve1028 · **on:** Jul 24, 2018

The primary care NP performs a physical examination on an 89-year-old patient who is about to enter a skilled nursing facility. The patient reports having had chickenpox as a child. The NP should:

a. obtain a varicella titer.
b. administer the Varivax vaccine.
c. give the patient the Zostavax vaccine.
d. plan to prescribe Zovirax if the patient is exposed to shingles.

Question 2

The primary care NP sees a 12-month-old infant who needs the MMR, Varivax, influenza, and hepatitis A vaccines. The child's mother tells the NP that she is pregnant. The NP should:

a. administer all of these vaccines today.
b. give the hepatitis A and influenza vaccines.
c. give the Varivax, hepatitis A, and influenza vaccines.
d. withhold all of these vaccines until after the baby is born.

bigcheese9 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
The Advisory Committee on Immunization Practices has recommended that a single dose of herpes zoster vaccine (Zostavax) be given to adults 60 years of age or older. This is recommended whether or not the patient reports a prior episode of herpes zoster. Varivax is not recommended to prevent shingles.

Answer to Question 2

A
Although live-virus vaccines should not be administered to mothers during pregnancy, they may be given to children whose mothers are pregnant.