A nurse at a health clinic is preparing to administer the inactivated influenza vaccine to a client. The nurse should ask the client about allergies to which of the following foods?

Shellfish.

Eggs.

Citrus fruit.

Gelatin.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B: Eggs.

Choice B rationale: Most influenza vaccines are manufactured using egg-based technology and contain trace amounts of egg proteins, such as ovalbumin. Individuals with egg allergies may potentially experience allergic reactions to these proteins. While current guidelines recommend that individuals with egg allergies can still receive the inactivated influenza vaccine under the supervision of a healthcare provider, it is crucial to screen for egg allergies to ensure appropriate precautions are taken during vaccine administration.

Choice A rationale: Although shellfish allergies can cause severe reactions in some individuals, they are not specifically associated with the production or components of the inactivated influenza vaccine. Therefore, inquiring about shellfish allergies would not directly help determine the risk of an adverse reaction to the influenza vaccine.

Choice C rationale: Citrus fruit allergies are not directly related to the components or production methods of the inactivated influenza vaccine. While it is essential to be aware of a patient's allergy history, asking about citrus fruit allergies would not be the most relevant question in this context.

Choice D rationale: Gelatin allergies may be relevant in the administration of certain vaccines, as some contain gelatin as a stabilizer. However, the primary allergenic component of concern in the inactivated influenza vaccine is egg protein, not gelatin. Therefore, asking about gelatin allergies would not be the priority when assessing potential allergic reactions to the influenza vaccine.

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Correct Answer is B

Explanation

Choice A rationale:
Obtaining the client's electrolyte levels every 4 hours is not standard practice when initiating continuous enteral feedings via a gastrostomy tube. While monitoring electrolytes is important, it's not done at such a high frequency unless there's a specific indication or concern.
Choice B rationale:
Measuring the client's gastric residual every 12 hours is a crucial action when initiating continuous enteral feedings. Gastric residual volume helps to assess the client's tolerance to the feeding, the rate of digestion and absorption, and the risk of aspiration. If the residual volume is too high, it could indicate feeding intolerance or delayed gastric emptying.

Choice Crationale:
Keeping the client's head elevated at 15 degrees during feedings is not standard practice for continuous enteral feedings. This angle could potentially promote reflux and increase the risk of aspiration. Instead, the head of the bed is usually elevated at least 30 degrees to help prevent reflux and aspiration.

Choice Drationale:
Flushing the client's tube with 30 mL of water every 4 hours is not a standard practice for continuous enteral feedings. Flushing the tube helps maintain its patency, but it's usually done before and after medication administration or as needed to prevent clogs, not on such a frequent schedule.

A. A client whose hematocrit is 42%. B. A client whose RBC count is 5.2 million/mm3. C. A client whose ferritin level is 8 ng/mL. D. A client whose hemoglobin is 15 g/dL.

Correct Answer is C

Explanation

Choice A rationale:
A client whose hematocrit is 42% (Choice A) falls within the normal range for hematocrit values, which is typically around 37-52% for adult women and 40-54% for adult men. While low hematocrit values can indicate anemia, a value of 42% is not indicative of iron-deficiency anemia on its own.
Choice B rationale:
A client whose RBC count is 5.2 million/mm3 (Choice B) is within the normal range for red blood cell counts, which is roughly 4.5-5.5 million/mm3 for adult women and 4.5-6.1 million/mm3 for adult men. Although low RBC counts can be associated with anemia, the value provided is not suggestive of iron-deficiency anemia without further context.
Choice C rationale:
A client whose ferritin level is 8 ng/mL (Choice C) is the correct choice. Ferritin is a protein that stores iron, and low levels of ferritin are a strong indicator of iron-deficiency anemia. Ferritin levels less than 12 ng/mL are often considered indicative of depleted iron stores.
Choice D rationale:
A client whose hemoglobin is 15 g/dL (Choice D) falls within the normal range for hemoglobin values, which is typically around 12-15.5 g/dL for adult women and 13.5-17.5 g/dL for adult men. While low hemoglobin can suggest anemia, a value of 15 g/dL is not indicative of iron-deficiency anemia on its own.

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A nurse at a health clinic is preparing to administer the inactivated influenza vaccine to a client. The nurse should ask the client about allergies to which of the following foods?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory values of four clients. Which of the following values indicates to the nurse that a client has iron-deficiency anemia?

Correct Answer is C

Explanation

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