A nurse is assessing a client prior to administering the influenza vaccine. The nurse should assess if the client has an allergy to which of the following foods?
Gelatin
Shellfish
Egg
Milk
The Correct Answer is C
Rationale:
A. Gelatin: Gelatin allergies are more relevant when assessing for risk with certain vaccines like MMR or varicella, which may contain gelatin as a stabilizer. It is not a primary concern with most influenza vaccines.
B. Shellfish: Shellfish allergies are associated with reactions to iodine-based contrast, not vaccines. They do not impact the safety of receiving the influenza vaccine.
C. Egg: Many influenza vaccines are manufactured using egg-based processes, which can leave residual egg protein. Although most clients with egg allergies can now safely receive the vaccine, this allergy is still important to assess before administration.
D. Milk: Milk allergies are not linked to influenza vaccines and do not affect vaccine safety. There is no milk protein used in the manufacturing of flu vaccines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. "You should eat foods high in protein." Protein is essential for tissue repair and healing, especially after pancreatitis. A diet rich in protein supports recovery and helps maintain muscle mass and immune function.
B. “Limit alcohol intake to no more than one drink per day." Alcohol is a major risk factor for pancreatitis; complete abstinence is necessary to prevent recurrence. Advising to limit intake rather than abstain may lead to misunderstanding and increased risk.
C. "Notify your provider if you experience vomiting or diarrhea." Vomiting and diarrhea may indicate complications such as worsening pancreatitis, infection, or intolerance to diet changes. Early reporting can prevent severe dehydration and further complications.
D. "You should eat foods that are low in fat." Low-fat foods reduce pancreatic stimulation, which is crucial in managing pancreatitis. Consuming high-fat foods can exacerbate symptoms and prolong inflammation.
E. “You can drink beverages that contain caffeine." Caffeine can irritate the gastrointestinal tract and may worsen symptoms in pancreatitis. One should limit or avoid caffeine during recovery.
Correct Answer is ["A","B","C","D"]
Explanation
Rationale:
A. Sleep pattern: Two days without sleep is a red flag in bipolar disorder and may lead to worsening mania or psychosis. Addressing sleep deprivation is a priority to reduce the risk of exhaustion or psychotic deterioration.
B. Skin turgor: Poor skin turgor suggests dehydration, which may be due to poor fluid intake or prolonged activity. It requires immediate follow-up to prevent complications like electrolyte imbalances or renal injury.
C. Hallucinations: Persistent visual hallucinations may indicate an acute psychotic episode or manic psychosis. These require immediate psychiatric intervention to ensure client safety and stabilization.
D. Heart rate: A heart rate of 120/min indicates tachycardia, possibly related to dehydration, agitation, or underlying mania. It requires prompt evaluation to rule out cardiovascular strain or systemic causes.
E. Hygiene: While poor hygiene is a concern and can indicate mental health deterioration, it is not immediately life-threatening. It can be addressed after acute issues such as dehydration, tachycardia, and psychosis are managed.
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