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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Spironolactone is a potassium-sparing diuretic used in the management of ascites associated with liver failure. Its mechanism of action includes blocking the actions of aldosterone, a hormone that promotes sodium retention and potassium excretion in the kidneys. This results in increased urinary sodium excretion and hyponatremia and hyperkalemia.
A. Decreased chloride level is not typically associated with spironolactone use.
C. Spironolactone is a potassium-sparing diuretic, so it leads to an increased potassium level (hyperkalemia)
D. Spironolactone is not associated with decreased phosphate levels.
Correct Answer is C
Explanation
Mydriatic eye drops are used in ophthalmology to dilate the pupil for visualization of the retina and the vitreous humor. Absorption into the system an lead to systemic anticholinergic effect such a s constipation due to reduce gastrointestinal motility.
A. Bradycardia is a cholinergic effect
B and D are not typical anticholinergic effects
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