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 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.

A. Request a different medication from the provider B. Administer the medication to the client. C. Premedicate the client with diphenhydramine. D. Request a different route of administration from the provider.

Correct Answer is B

Explanation

A. There is no need for change of antibiotic as there is no cross-rectivity between macrolides and penicillins.
B. Given the client's severe allergy to penicillin, it would be safe to administer erythromycin, a macrolide, as there is no risk of cross-reactivity.
C. Diphenhydramine is an antihistamine commonly used to treat allergic reactions, but premedicating the client with diphenhydramine is not necessary.
D. Changing the route of administration would not alter the risk of an allergic reaction.

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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 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 preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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