A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse

should recognize that Which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAV)?

The client has a history of myocardial infarction.

The client smokes one pack of cigarettes a day

The client's age is 62.

The client has recently traveled to Europe.

Answer and Explanation

The Correct Answer is C

Rationale- Live attenuated influenza vaccine is a weakened form of the influenza virus that promotes production of antibodies in the host to fight infections in case of exposure to influenza virus. The virus is contraindicated in individuals with weak immune system such as those above 50 years old due to risk of causing severe infection.

A-History of MI is not an immunocompromised state

B-History of cigarette smoking predisposes to influenza infection but is not a contraindication to LAV D-History of travel to Europe could expose have exposed the client to influenza but that is not a

contraindication to LAV

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Correct Answer is B

Explanation

alcohol withdrawal can present with agitation, anxiety, seizures and hallucinations. Diazepam is a benzodiazepine that helps to control the symptoms by potentiating the inhibitory mechanisms of the brain.
A. Buprenorphine is an opioid uses in pain management.
C. Disulfiram is used in the management of alcohol use disorder
D. Methadone is an opioid used in management of pain and opioid dependence.

A. “I will avoid crowds to keep from infecting others” B. “I will call my doctor if I notice any unusual menstrual bleeding” C. "I will run my toothbrush in the dish washer every month." D. "1 will take the antiemetic as soon as the chemotherapy infusion is complete."

Correct Answer is B

Explanation

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is completing a medication history for a client Who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

A nurse is teaching a client Who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a client Who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report Which of the following adverse reactions?

A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of the following techniques should the nurse use?