A nurse is planning an in-service about immunizations. Which of the following information should the nurse include about the Haemophilus influenzae type b (Hib)vaccine? (Select All that Apply.)

The final booster dose is administered at 12 to 15 months of age.

The vaccine is administered intramuscularly.

The first does of this vaccine can be administered to a newborn immediately after birth.

The vaccine reduces the risks for meningitis and epiglottitis.

An allergy to eggs is a contraindication to this vaccine.

Answer and Explanation

Correct Answer : A,B,D

A. The final booster dose is administered at 12 to 15 months of age: The Hib vaccine series is completed with a booster in the second year of life, which ensures long-term immunity against invasive Hib infections.

B. The vaccine is administered intramuscularly: Hib vaccine is given via IM injection, typically in the anterolateral thigh for infants or the deltoid for older children, which is important for proper absorption and immune response.

C. The first dose of this vaccine can be administered to a newborn immediately after birth: The Hib vaccine is not given at birth; the series begins at 2 months of age according to the recommended immunization schedule.

D. The vaccine reduces the risks for meningitis and epiglottitis: Hib vaccination protects against serious infections caused by Haemophilus influenzae type b, including meningitis, epiglottitis, and pneumonia, reducing morbidity and mortality.

E. An allergy to eggs is a contraindication to this vaccine: Egg allergy is not a contraindication for Hib vaccine; it is safe for children with this allergy.

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Correct Answer is D

Explanation

A. “There is an increased workload on the right side of the heart, making the muscle thinner and harder for the heart to pump blood through the body.": Cardiomyopathy typically involves the ventricles rather than just the right side of the heart, and ventricular muscle often becomes thickened or dilated rather than thinner initially.

B. "There is an increased workload on the left side of the heart, making the muscle thicker and harder for the heart to pump blood through the body.": While left-sided involvement can occur, cardiomyopathy often affects both ventricles, not solely the left side.

C. “There is an increased workload in the right and left atria, making the muscle thinner and harder for the heart to pump blood through the body.": The atria are not the primary sites affected in cardiomyopathy; pathology predominantly affects the ventricles, which manage the major pumping workload.

D. “There is an increased workload in the right and left ventricles, making the muscle thicker and harder for the heart to pump blood through the body.": Cardiomyopathy causes the ventricular muscle to undergo hypertrophy or dilation due to increased workload, impairing effective pumping. This accurately reflects the pathophysiology and ventricular involvement.

A. The vaccine is administered in the thigh. B. The vaccine is administered subcutaneously, or under the skin. C. The vaccine in given in a series of three doses. D. Booster doses are recommended every 5 years throughout life.

Correct Answer is A

Explanation

A. The vaccine is administered in the thigh: For infants, the preferred site for intramuscular administration of the DTaP vaccine is the anterolateral thigh. This site has adequate muscle mass to safely absorb the vaccine and reduce complications.

B. The vaccine is administered subcutaneously, or under the skin: The DTaP vaccine is administered intramuscularly, not subcutaneously, to ensure proper absorption and immune response.

C. The vaccine is given in a series of three doses: The primary DTaP series for infants typically consists of five doses, not three, given at 2, 4, 6, 15–18 months, and 4–6 years.

D. Booster doses are recommended every 5 years throughout life: Booster doses are given at specific ages—4–6 years, 11–12 years (Tdap), and then every 10 years—not every 5 years.

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A nurse is planning an in-service about immunizations. Which of the following information should the nurse include about the Haemophilus influenzae type b (Hib)vaccine? (Select All that Apply.)

Nursing Test Bank

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