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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
St. John's wort is a form of alternative form of medicine used for psychiatric illnesses such as depression and other mood disorders. It increases metabolism of estrogen and progesterone reducing the effectiveness of hormonal contraceptives which can lead to unplanned pregnancies.
A, B, D have no effect of oral contraceptives.
Correct Answer is A
Explanation
Chewing sugarless gum or sucking on hard sour candies can help stimulate saliva production and alleviate the symptoms of dry mouth.
B. Dry mouth is a common side effect of diphenhydramine and can often be managed with simple interventions like chewing sugarless gum. Notifying the provider is not necessary
C. Placing a humidifier at the bedside may help with dry mouth indirectly by increasing moisture in the air, but it's not a direct solution for dry mouth caused by diphenhydramine.
D. Administering the medication with food is not specifically related to managing dry mouth caused by diphenhydramine.
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