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?

A school-age child who has rhinitis

A client who is at 27 weeks of gestation

An adolescent who received a new tattoo last week

A client who is about to travel to a different country

Answer and Explanation

The Correct Answer is B

B. Pregnant individuals should not receive the LAIV. It is recommended that pregnant individuals receive the inactivated influenza vaccine (IIV) instead. Therefore, this client has a contraindication to receiving the LAIV.
A. Rhinitis, or inflammation of the nasal passages, is not a contraindication to receiving the LAIV. In fact, LAIV may be preferred over the inactivated influenza vaccine (IIV) for individuals without contraindications between the ages of 2 and 49 years.
C. Recent receipt of a tattoo is not a contraindication to receiving the LAIV. While LAIV should generally not be administered to individuals with compromised immune systems, recent tattooing is not considered a contraindication.
D. Traveling to a different country is not a contraindication to receiving the LAIV. However, individuals with certain medical conditions or who are immunocompromised should not receive the LAIV.

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Correct Answer is A

Explanation

A. Nystatin oral suspension is typically swished around the mouth before swallowing to ensure adequate coverage of affected areas, such as the oral mucosa. This helps to maximize the medication's contact with fungal infections in the mouth.
B. This instruction is not necessary for nystatin oral suspension. Nystatin oral suspension can be taken with or without food, as directed by the healthcare provider. Therefore, there is no specific requirement to take it with meals.
C. This instruction is not necessary for nystatin oral suspension. Using a straw is not typically recommended for taking oral medications unless specifically instructed by a healthcare provider. Therefore, this instruction is not relevant to the administration of nystatin oral suspension.
D. This instruction is not necessary for nystatin oral suspension. While drinking water after taking medication is generally a good practice to ensure proper swallowing and hydration, it is not specifically required for nystatin oral suspension.

A. Take the patch off prior to bathing the client. B. Monitor for hypertension after application of the patch. C. Rotate the application sites of the patch. D. Remove the patch every 24 hr

Correct Answer is C

Explanation

A. Nitroglycerin patches should not be removed for routine activities like bathing unless specifically instructed.
B. Nitroglycerin is used to treat hypertension, not induce it. Monitoring for hypertension after applying the patch is unnecessary.
C. To prevent skin irritation and tolerance to the medication, it is important to rotate the application sites when using a transdermal patch. This allows the skin to recover and helps maintain the effectiveness of the medication.
D. Nitroglycerin patches are typically worn continuously for 12 to 14 hours and then removed for a 10- to 12-hour nitrate-free interval to prevent tolerance to the medication.

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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 reinforcing teaching with a client who has a prescription for nystatin oral suspension. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?

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?

A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect?

A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?

A nurse is reinforcing teaching with a newly licensed nurse about age-related changes that affect medication administration for older adult clients. Which of the following information should the nurse include?

A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

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