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. Levothyroxine: No known contraindication when used with furosemide.
B. Lithium carbonate: Furosemide can increase lithium levels due to its diuretic effects, which may lead to lithium toxicity.
C. Albuterol: No contraindication with furosemide.
D. Cetirizine: No contraindication with furosemide.

A. "I will ask your provider to increase the dose of the medication." B. "You will need to take this medication on an empty stomach for it to be more effective." C. “you will need to wait a couple of weeks to feel the therapeutic effect of the medication." D. "I will inform your provider so they can prescribe a different medication."

Correct Answer is C

Explanation

A. Increasing the dose too soon is inappropriate; therapeutic effects take time to manifest.
B. Amitriptyline can be taken with or without food; stomach contents do not affect its efficacy.
C. Most antidepressants, including amitriptyline, require 2-4 weeks for therapeutic effects. The client needs reassurance and education.
D. Switching medications prematurely is unnecessary unless severe side effects occur.

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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 reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?

Correct Answer is B

Explanation

A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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