A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?

An adolescent who received a new tattoo last week

A client is at 27 weeks of gestation

A client who is about to travel to a different country

A school-age child who has rhinitis

Answer and Explanation

The Correct Answer is B

A. An adolescent who received a new tattoo last week: A tattoo does not contraindicate live vaccines.
B. A client is at 27 weeks of gestation: Live attenuated vaccines are contraindicated in pregnancy due to potential risk to the fetus.
C. A client who is about to travel to a different country: Travel does not contraindicate the vaccine unless the client has other risk factors.
D. A school-age child who has rhinitis: Mild illness such as rhinitis does not contraindicate live vaccines.

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Correct Answer is B

Explanation

A. Decreased triglycerides: Allopurinol is not used to treat triglyceride levels.
B. Decreased uric acid: Allopurinol works by decreasing uric acid levels, which is important in the treatment of gout.
C. Increased albumin: Allopurinol does not directly affect albumin levels.
D. Increased potassium: Allopurinol does not have a direct effect on potassium levels.

A. Tremors B. Anorexia C. Drowsiness D. Hypotension

Correct Answer is A

Explanation

A. Tremors: Benzodiazepine withdrawal commonly presents with tremors, anxiety, agitation, insomnia, and in severe cases, seizures.
B. Anorexia: While appetite changes may occur during withdrawal, it is not the primary manifestation.
C. Drowsiness: Drowsiness is more commonly associated with the sedative effects of diazepam rather than its withdrawal.
D. Hypotension: Withdrawal from diazepam is more likely to cause hypertension and tachycardia due to autonomic hyperactivity.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking allopurinol. Which of the following laboratory findings indicates the medication has been effective?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?

Correct Answer is A

Explanation

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