A nurse in a community health clinic is preparing to administer the inactivated influenza vaccine to a group of clients. The nurse should recognize that this immunization is contraindicated for which of the following clients?
A young adult who has a febrile illness
A young adult who is pregnant
A child who has a hypersensitivity to amoxicillin
A child who has cerebral palsy
The Correct Answer is A
A. A young adult who has a febrile illness: Receiving an inactivated influenza vaccine during an acute febrile illness can increase the risk of adverse reactions and may reduce the immune response. Vaccination should be postponed until the illness resolves.
B. A young adult who is pregnant: Inactivated influenza vaccines are safe during pregnancy and are recommended to protect both the mother and the fetus from influenza-related complications. Pregnancy is not a contraindication.
C. A child who has a hypersensitivity to amoxicillin: Hypersensitivity to antibiotics like amoxicillin does not contraindicate the influenza vaccine, as there is no cross-reactivity between amoxicillin and the vaccine components.
D. A child who has cerebral palsy: Cerebral palsy is a neurological condition and does not prevent administration of the inactivated influenza vaccine. Vaccination is encouraged in children with chronic conditions to reduce infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
Calculation:
- Calculate the total dose in milligrams (mg).
Ordered dose: 0.02 mg/kg
Patient weight: 30 kg
Total dose (mg) = 0.02 mg/kg x 30 kg
= 0.6 mg.
- Calculate the volume to administer in milliliters (mL).
Total dose: 0.6 mg
Available concentration: 0.4 mg/mL
Volume (mL) = Total Dose (mg) / Available Concentration (mg/mL)
= 0.6 mg / 0.4 mg/mL
= 1.5 mL.
Correct Answer is B
Explanation
A. Hypertension: An allergic reaction to vancomycin typically does not cause high blood pressure. Blood pressure changes may occur with severe reactions, but hypertension is not a primary indicator.
B. Dyspnea: Difficulty breathing indicates a hypersensitivity or allergic reaction to vancomycin. Respiratory distress, along with potential hypotension, rash, or urticaria, signals the need for immediate intervention.
C. Tetany: Tetany is related to hypocalcemia or electrolyte imbalances, not vancomycin allergy. It is not an expected manifestation of an allergic response.
D. Headache: Headache is a nonspecific symptom and is not characteristic of an allergic reaction to vancomycin. It does not reliably indicate hypersensitivity.
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