Author Question: The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox ... (Read 106 times)

Sufayan.ah · **on:** Jul 23, 2018

The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take?

a. Administer the vaccine as ordered.
b. Counsel the patient that the vaccine may cause a severe reaction because of previous exposure.
c. Hold the vaccine and notify the provider of the patient's history.
d. Request an order for a Varivax booster instead of the Zostavax.

Question 2

A young adult patient is in the clinic to receive a tetanus vaccine after sustaining a laceration injury.

The nurse learns that the patient, who works in a day care center, has not had any vaccines for more than 10 years. Which vaccine will the nurse expect to administer?
a. DT
b. DTaP
c. Td
d. Tdap

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

Answer to Question 1

ANS: A
Zostavax is given to boost the immunity to varicella-zoster virus among recipients. It is not likely to cause severe reaction secondary to prior exposure, since the immune response in most recipients has declined. Zostavax, not Varivax, is approved for this use.

Answer to Question 2

ANS: D
Persons who work with children should receive acellular pertussis vaccine. The Tdap is given to adults. The DTaP is given to children up to age 6. The DT and Td do not contain pertussis.