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.
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.
You might also like to view...
A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is the:
1. Nurse. 2. Social worker. 3. Unit secretary. 4. Physician.
The nurse is presenting a talk for the monthly Nursing Case Study education group. Which client would be a good choice for a case study on multiple sclerosis (MS)?
A) Brazilian with chronic parasitic infestation B) Italian with colonized methicillin resistant staphylococcus aureus (MRSA) C) Northern Canadian who has smoked for 25 years D) African-American man in his 20s with a vitamin D deficiency
A client has experienced a myocardial infarction (MI). After the acute stage of the MI, what is the most lethal complication the nurse should be aware can occur?
A) Thrombophlebitis B) Ventricular aneurysm C) Mitral valve prolapse D) Septic shock
Identify from the following those statements that apply to the pancreas
a. Secretions are alkaline b. Secretions contain enzymes that digest fat c. Secretions are acidic d. Secretions contain precursors of protein-digesting enzymes e. Secretions enter the intestine through the pyloric sphincter f. Release of secretions is stimulated by the acid content of chyme