A parent says, I have heard that some of the vaccines contain the ...

[MirandaLo]

A parent says, I have heard that some of the vaccines contain the microbe that causes the actual disease. Can that be true? How should the nurse respond?
 
  1. The microbes are live but are weakened.
  2. That is true, but they do not cause disease.
  3. The measles, mumps, and rubella vaccine is an example.
  4. No, all microbes used in vaccines are killed.
  5. This only occurs in toxoid vaccines.

Question 2

The client had a liver transplant and asks the nurse if she really needs all of those medications. How should the nurse respond?
 
  1. Yes, this is necessary for you to not reject the new liver, but in time you will be down to only one medication.
  2. Yes you need these medications so you won't reject your new liver, but with current cloning techniques in about 5 years you should be able to grow enough new liver cells to support your life.
  3. You need these medications because it is important to dampen your immune response so you won't reject your new liver.
  4. New research indicates that immunosuppressant drugs are only needed for 6 months after transplant.

[yotaSR5]

Answer to Question 1

1,3
Rationale 1: These are called attenuated vaccines. The microbes are weakened.
Rationale 2: These vaccines can cause disease in those who are immunocompromised.
Rationale 3: MMR is an example of such a vaccine.
Rationale 4: Not all vaccines are made with killed microbes.
Rationale 5: Toxoid vaccines contain bacterial toxins.

Global Rationale: These are called attenuated vaccines. The microbes are weakened. MMR is an example of such a vaccine. These vaccines can cause disease in those who are immunocompromised. Not all vaccines are made with killed microbes. Toxoid vaccines contain bacterial toxins.

Answer to Question 2

3
Rationale 1: Telling a client that in time she will be down to one medication is false reassurance; the nurse does not know this will occur.
Rationale 2: There are not any cloning techniques that will allow clients to grow new liver cells in a quantity to support life.
Rationale 3: The client needs medication to dampen her immune response so that she will not reject the new liver.
Rationale 4: There is no research indicating immunosuppressant drugs are not necessary.
Global Rationale: The client needs medication to dampen her immune response so that she will not reject the new liver. Telling a client that in time she will be down to one medication is false reassurance; the nurse does not know this will occur. There are not any cloning techniques that will allow clients to grow new liver cells in a quantity to support life. There is no research indicating immunosuppressant drugs are not necessary.

[MirandaLo]

Gracias!

[bdobbins]

Excellent