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","C","D","E"]
Explanation
Choice A rationale:
Young age. This statement is incorrect. While shingles is more common in older adults, it can still occur in individuals of any age. Young age is not a risk factor for developing shingles.
Choice B rationale:
Stress. This statement is correct. Stress weakens the immune system, making individuals more susceptible to shingles. Emotional or physical stress can trigger shingles in people who have already had chickenpox.
Choice C rationale:
Immunocompromised status. This statement is correct. Individuals with weakened immune systems, such as those with HIV, cancer, or taking immunosuppressive medications, have a higher risk of developing shingles because their bodies may have difficulty controlling the reactivation of the varicella-zoster virus.
Choice D rationale:
Trauma. This statement is correct. Physical trauma or injury to the skin can increase the risk of shingles in the affected area. The trauma can disrupt the nerve pathways and trigger the reactivation of the varicella-zoster virus.
Choice E rationale:
Allergic to gelatin or neomycin. This statement is correct. The varicella vaccine contains trace amounts of gelatin and neomycin. Individuals with severe allergies to these components should not receive the vaccine to avoid potential allergic reactions.
Tuberculosis.
Correct Answer is C
Explanation
Choice A rationale:
Complete Blood Count (CBC) is not useful in confirming the diagnosis of chickenpox. CBC provides information about the number and types of blood cells but is not specific to chickenpox diagnosis.
Choice B rationale:
Stool culture is not relevant in confirming the diagnosis of chickenpox. Stool culture is used to identify gastrointestinal infections, and it is not associated with chickenpox.
Choice C rationale:
Tzanck smear and viral culture from vesicle fluid are useful in confirming the diagnosis of chickenpox. Tzanck smear involves taking a sample from the vesicle and staining it to identify multinucleated giant cells, which are characteristic of varicella-zoster virus (VZV) infection. Viral culture involves growing the VZV in a lab to confirm the presence of the virus.
Choice D rationale:
Urinalysis is not relevant in confirming the diagnosis of chickenpox. Urinalysis is used to assess kidney function and detect urinary tract infections, but it does not help in diagnosing chickenpox.
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