Practice Question # 640.
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Question 1 of 1
Which vaccine should a nurse recommend for prevention of liver cancer?Correct
Answer & Rationale:
Hepatitis B vaccine dramatically reduces the incidence of hepatitis B virus and, in turn, prevents liver cancer. The evidence does not support that the other vaccines have an effect on the incidence of liver cancer.Incorrect
Answer & Rationale:
Hepatitis B vaccine dramatically reduces the incidence of hepatitis B virus and, in turn, prevents liver cancer. The evidence does not support that the other vaccines have an effect on the incidence of liver cancer.
Hepatitis B vaccine (HepB) Medical Study Review
- Protects against hepatitis B
- Administered by the intramuscular route
- First dose of hepatitis B vaccine (monovalent) should be administered soon after birth and before hospital discharge (the birth dose can be delayed in rare circumstances if the infant’s mother tests negative for hepatitis B surface antigen [HBsAg]).
- Monovalent HepB or a combination vaccine containing hepatitis B may be used to complete the series.
- The second dose is administered at age 1 to 2 months.
- The final dose should be given at 24 weeks or older (6 to 18 months of age).
- Contraindications: Severe allergic reaction to previous dose or vaccine component (components include aluminum hydroxide, yeast protein)
- Precautions: An infant weighing less than 2000 g or an infant with moderate or severe acute illness with or without fever.
- HBsAg-positive mothers
- Infant should receive HepB vaccine and hepatitis B immunoglobulin (HBIG) within 12 hours of birth.
- Infant should be tested for HBsAg and antibody to HBsAg after completion of HepB series (9 to 18 months of age).
- Mother whose HBsAg status is unknown
- Infant should receive the first dose of hepatitis vaccine series within 12 hours of birth.
- Maternal blood should be drawn as soon as possible to determine the mother’s HBsAg status.
- If the mother’s HBsAg test result is positive, the infant should receive HBIG as soon as possible (no later than 1 week of age).