A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before
administering it, the nurse must confirm that the client is not allergic to which of the following:

Eggs

Yeast

Gelatin

Shellfish

Answer and Explanation

The Correct Answer is A

Inﬂuenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the inﬂuenza vaccine.

Yeast, gelatin, and shellfish are not typically present in the seasonal inactive inﬂuenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.

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Correct Answer is D

Explanation

Metronidazole is an antibiotic that is eﬀective against anaerobic bacteria and protozoa. It is not eﬀective against Gram-negative bacteria such as Pseudomonas aeruginosa or Klebsiella, nor is it eﬀective against fungi such as Candida. However, it is the drug of choice for the treatment of Trichomoniasis vaginalis, a common sexually transmited infection caused by a protozoan parasite. Therefore, the nurse should include in the teaching that metronidazole is indicated for the treatment of Trichomoniasis vaginalis.

A. A recent history of diarrhea for 3 days. B. Serum creatinine 0.8 mg/dL. C. Severe allergy to amoxicillin. D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.

Correct Answer is C

Explanation

Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.

A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.

A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.

A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a diﬀerent site or route for administration if necessary.

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A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that metronidazole is Indicated for which of the following infections?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is C

Explanation

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A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before
administering it, the nurse must confirm that the client is not allergic to which of the following: