A nurse is reviewing a client's medical record and determines that the client has naturally acquired active immunity.
Which of the following would most likely apply?

The client who is exposed to chickenpox for the first time and has no immunity to the disease.

Administration of the varicella vaccine to an individual who has no immunity to the disease.

Administration of the influenza vaccine to an individual who has no immunity to the disease.

Administration of the rubella vaccine to an individual who has no immunity to the disease.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Naturally acquired active immunity occurs when an individual is exposed to a disease-causing agent for the first time and develops immunity through their immune response. In this case, the client is exposed to chickenpox for the first time, and the immune system will produce antibodies to provide future protection.

Choice B rationale:

Administration of a vaccine (varicella vaccine) is an example of artificially acquired active immunity. The client's immune system responds to the weakened or inactivated pathogen in the vaccine to produce immunity. This choice does not represent naturally acquired immunity.

Choice C rationale:

Similar to choice B, administration of the influenza vaccine is an example of artificially acquired active immunity. The vaccine contains inactivated influenza virus components, prompting the individual's immune system to develop immunity.

Choice D rationale:

Administration of the rubella vaccine is another example of artificially acquired active immunity. The vaccine stimulates the immune system to produce antibodies against rubella, but this is not an example of naturally acquired immunity.

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Correct Answer is C

Explanation

Choice A rationale:

This choice is not accurate because the severity of the infection is not the primary reason for the development of a superinfection. Superinfections occur due to disruptions in the normal bacterial flora, not because the drug is less effective in severe infections.

Choice B rationale:

This choice is also inaccurate. Superinfections do not occur as the original infection begins to clear. They are a result of antibiotic therapy, particularly with drugs like fluoroquinolones that disrupt the normal bacterial balance.

Choice C rationale:

Choice D rationale:

This choice is not appropriate as it does not provide the patient with useful information. It's essential to educate the patient about why the superinfection occurred.

A. Urinalysis. B. Culture tests. C. Ulcer tests. D. Stool tests.

Correct Answer is B

Explanation

Choice A rationale:

Urinalysis is not typically required before administering ciprofloxacin unless there is a specific indication. Ciprofloxacin is often prescribed for urinary tract infections, but routine urinalysis may not be necessary in all cases. Culture tests are more appropriate to determine the causative microorganism and its susceptibility to ciprofloxacin.

Choice B rationale:

Culture tests are essential before administering ciprofloxacin. These tests help identify the specific pathogen causing the infection and determine its sensitivity to the antibiotic. This information is crucial for selecting the most effective treatment and preventing the development of antibiotic resistance.

Choice C rationale:

There is no standard "ulcer test" that needs to be completed before administering ciprofloxacin. The choice of administering ciprofloxacin would depend on the clinical presentation, patient history, and the suspected infection. Culture tests are more relevant for identifying the infection's source.

Choice D rationale:

Stool tests are not typically required before administering ciprofloxacin unless there is a specific indication, such as suspected gastrointestinal infections. Again, the necessity for such tests would depend on the clinical presentation and the healthcare provider's assessment. Culture tests are essential for identifying the causative microorganism in most cases.

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A nurse is reviewing a client's medical record and determines that the client has naturally acquired active immunity.Which of the following would most likely apply?

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Naxlex Comprehensive Predictor Exams

A patient develops a superinfection due to fluoroquinolone therapy.The patient asks the nurse why this happened.Which response by the nurse would be most appropriate?

Correct Answer is C

Explanation

A nurse is preparing to administer ciprofloxacin as ordered.Which test would the nurse ensure is completed before administering the first dose to the patient?

Correct Answer is B

Explanation

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A nurse is reviewing a client's medical record and determines that the client has naturally acquired active immunity.
Which of the following would most likely apply?