A nurse is educating a group of new parents about tetanus prevention. Which of the following statements is accurate regarding immunization against tetanus?
Pregnant women should receive the Td vaccine during each pregnancy.
The recommended vaccination schedule includes three doses of the DTP vaccine during adulthood.
Tetanus prophylaxis should only be given to patients with severe wounds.
The Tdap vaccine is administered every 5 years during adulthood.
The Correct Answer is D
Choice A rationale:
Pregnant women should receive the Tdap vaccine during each pregnancy. This is a correct statement as vaccination during pregnancy helps provide protection to both the mother and the newborn against tetanus, diphtheria, and pertussis.
Choice B rationale:
The recommended vaccination schedule for adults includes a single dose of Tdap (tetanus, diphtheria, and acellular pertussis) vaccine, followed by a Td (tetanus and diphtheria) booster every 10 years. Three doses of DTP vaccine during adulthood are not part of the recommended schedule.
Choice C rationale:
Tetanus prophylaxis should be given to patients with all types of wounds, not just severe wounds. This statement is incorrect.
Choice D rationale:
The Tdap vaccine is not administered every 5 years during adulthood. As mentioned earlier, adults receive a single dose of Tdap and then a Td booster every 10 years.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
The nurse should not advise the patient to apply iodine, hydrogen peroxide, or alcohol to the wound. These substances can be irritating to the wound and delay the healing process.
Choice B rationale:
Cleaning and debriding the wound as soon as possible is an essential action to prevent infection and promote healing. Removing debris and foreign material from the wound reduces the risk of contamination and infection.
Choice C rationale:
Using non-sterile instruments for wound care is not appropriate. The nurse should emphasize the importance of using clean and sterile instruments to prevent introducing additional bacteria into the wound.
Choice D rationale:
Administering the Td vaccine (Tetanus and Diphtheria) for prophylaxis is a crucial action to protect the patient from tetanus, especially in contaminated wounds where tetanus spores might be present.
Choice E rationale:
Proper disposal of animal feces is crucial to avoid exposure to tetanus spores. Tetanus spores can be found in soil contaminated with animal feces and can enter the body through open wounds, leading to a serious and potentially fatal infection.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Encouraging using sterile instruments for cutting umbilical cords is important in preventing tetanus as contaminated instruments can introduce the
C. tetani spores, leading to infection.
Choice B rationale:
Promoting safe delivery practices in clean facilities is crucial to prevent tetanus in newborns. Clean delivery facilities reduce the risk of exposure to
C. tetani spores, which can enter through unclean delivery practices.
Choice C rationale:
Advising against disposing of animal feces properly is not directly related to preventing tetanus. Tetanus is primarily caused by the introduction of
C. tetani spores into wounds, not through exposure to animal feces.
Choice D rationale:
Educating on avoiding contact with soil or feces that may contain
C. tetani spores is essential in preventing tetanus. The spores can be found in soil and feces, and direct contact with these sources increases the risk of infection.
Choice E rationale:
Suggesting regular booster doses of DTP vaccine during adulthood is an effective measure in preventing tetanus. The DTP vaccine provides immunity against tetanus, and regular boosters are recommended to maintain protection throughout life.
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