Question

A neonate is to receive the hepatitis B vaccine in the neonatal nursery. Which of

the following must the nurse have available before administering the injection?
1. Hepatitis B immune globulin in a second syringe.
2. Sterile water to dilute the vaccine before injecting.
3. Epinephrine in case of severe allergic reactions.
4. Oral syringe since the vaccine is given by mouth.

Answer 1

The nurse must have Hepatitis B immune globulin available before administering the hepatitis B vaccine to the neonate, as it provides immediate protection against the virus. The vaccine does not need to be diluted with sterile water or administered orally, and severe allergic reactions are rare.

Step-by-step explanation:

The nurse must have Hepatitis B immune globulin in a second syringe available before administering the hepatitis B vaccine to the neonate. This is because Hepatitis B immune globulin is given as a passive immunization to provide immediate protection against the virus. It contains specific antibodies that help prevent the transmission of the hepatitis B virus.

It is not necessary to dilute the vaccine with sterile water before injecting, as the hepatitis B vaccine is typically administered as a single-dose suspension. There is no need for a separate dose of epinephrine in case of severe allergic reactions, as severe allergic reactions to the hepatitis B vaccine are rare. Lastly, the hepatitis B vaccine is not administered orally, so an oral syringe is not needed.