A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?

Metformin

Methotrexate

Esomeprazole

Estrogen

Answer and Explanation

The Correct Answer is B

A. Metformin is not a contraindication for receiving the shingles vaccine.

B.   Methotrexate, an immunosuppressant medication, can interfere with the efficacy of live vaccines such as the shingles vaccine, and it is generally contraindicated to administer live vaccines to individuals taking immunosuppressants.

C.   Esomeprazole, a proton pump inhibitor, is not a contraindication for receiving the shingles vaccine.
D.   Estrogen is not a contraindication for receiving the shingles vaccine.

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Correct Answer is A

Explanation

A. Hypotension can occur as part of an allergic reaction to ceftriaxone, indicating a severe systemic response.
B. Bradycardia is not typically associated with an allergic reaction to ceftriaxone.

C. Polyuria is excessive urination and is not a common manifestation of an allergic reaction to ceftriaxone.
D. Nausea can occur with ceftriaxone administration but is not specific to an allergic reaction.

Correct Answer is ["19"]

Explanation

Drip rate (gtt/min) = (Volume to be infused in mL × Drop factor) ÷ Time of infusion in minutes

Given:

Volume to be infused = 350 mL Drop factor = 10 gtt/mL
Time of infusion = 3 hours = 180 minutes

Plugging these values into the formula:

Drip rate = (350 mL × 10 gtt/mL) ÷ 180 min Drip rate ≈ (3500 gtt) ÷ 180 min
Drip rate ≈ 19.4 gtt/min

Rounding to the nearest whole number, the drip rate is approximately 19 gtt/min. Therefore, the nurse should set the manual IV infusion to deliver 19 gtt/min.

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A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

Correct Answer is A

Explanation

Correct Answer is ["19"]

Explanation

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