2023-2024 NRNP6540 Pharmacology Midterm Exam With Answers (30 Solved Questions)

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1CorrectAnswer:A previous severe allergic reaction to influenza vaccine, regardless of thecomponent suspected of being responsible for the reaction, is acontraindication to future receipt of the vaccine.CorrectAnswer:Discuss the risks of herpes zoster and SE of vaccination with the patient anddecide on whether to immunize.Herpes ZosterRecombinant zoster vaccine (RZV) was approved by the U.S. Food and DrugAdministration in 2017 and recommended by the ACIP in 2017 for use in adultsaged 50 years and older. RZV has a significantly higher efficacy than Zostervaccine live ZVL, with rates of 90% to 97% for the prevention of herpes zosterand rates of 89% for prevention of PHN.Zoster vaccine live (ZVL) became available in 2006 and was recommended bythe ACIP in 2008 for use in adults aged 60 years and older. It is a one-dose liveattenuated strain of varicella zoster virus. ZVL has an overall vaccine efficacy of49.1%.RZV is recommended by the ACIP to be given to adults aged 50 years or older. Itis a two-dose vaccine series with the second dose given 2 to 6 months after thefirst. The ACIP recommends using RZV in preference to ZVL.Neither the Centers for Disease Control and Prevention (CDC) nor the World1.When would the influenza vaccine be absolutely contraindicated?2.You see a 69-year-old patient who recently moved to town and does not remember his lasttetanus shot. What would you do?3.E. D. is a 78-year-old woman who does not remember if she has ever had the immunization forherpes zoster. She does remember having chicken pox as a child. What would you recommend forher?CorrectAnswer:You could do one of two strategies: perform serologic testing for tetanus anddiphtheria antitoxin to see if they are immune, or give one dose of Tdap, followedby Td at least 4 weeks later, followed by another dose of Td 6–12 months later.Tetanus/Tdap:In older adults, if the recommended childhood series was not done at all, therecommendation is one dose of Tdap, followed by Td at least 4 weeks later,followed by another dose of Td 6–12 months later. If vaccination documentationis incomplete, the provider can either consider serologic testing for tetanus anddiphtheria antitoxin or assume that no vaccinations have been received andadminister vaccine as directed above for patients who have not been vaccinated.NRNP 6540 MIDTERM EXAM LATEST 2023-2024WITH QUESTIONS AND ANSWERS (VERIFIEDANSWERS).

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