A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

Hemophilus influenzae

Streptococcal pharyngitis

Clostridium difficile

Mycoplasma pneumoniae

Answer and Explanation

The Correct Answer is C

A. Hemophilus influenzae, which causes respiratory infections, generally requires droplet precautions, not contact precautions.

B. Streptococcal pharyngitis is also typically managed with droplet precautions, not contact precautions.

C. Clostridium difficile (C. diff) is a bacterial infection that causes severe diarrhea and gastrointestinal symptoms. It is spread through direct contact with contaminated surfaces or equipment, so contact precautions are necessary to prevent transmission.

D. Mycoplasma pneumoniae, which causes respiratory infections, requires droplet precautions, not contact precautions.

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Correct Answer is D

Explanation

A. An increased pulse may occur as a response to a variety of factors, including the infection or the administration of the antibiotic, but it does not necessarily indicate a severe allergic reaction.

B. A maculopapular rash could be a mild allergic reaction or side effect to the antibiotic, but it is not as immediately concerning as wheezing, which could indicate an anaphylactic reaction.

C. A headache can be a side effect of antibiotics, but it is not typically an urgent concern unless accompanied by other signs of severe allergic reactions.

D. Wheezing is a critical finding and could indicate an allergic reaction or anaphylaxis, a potentially life-threatening condition. This symptom requires immediate attention and is the priority to report to the provider.

A. Neomycin B. Gluten C. Eggs D. Gelatin

Correct Answer is C

Explanation

A. Neomycin is not a contraindication to the influenza vaccine. However, if a person has a known neomycin allergy, they should avoid specific vaccines containing neomycin, but this is not typically a concern with the influenza vaccine.

B. Gluten allergies are not a contraindication for the influenza vaccine. Gluten is not an ingredient in most influenza vaccines, so a gluten allergy would not impact vaccine administration.

C. The influenza vaccine contains trace amounts of egg proteins, and individuals who have had a severe allergic reaction (anaphylaxis) to eggs should not receive this vaccine, or they should receive it under close supervision with appropriate precautions. This is because egg-based production methods of the vaccine may pose a risk.

D. Gelatin is a common ingredient in some vaccines, but a gelatin allergy is not typically a contraindication for the influenza vaccine. However, if a child has a severe allergic reaction to gelatin, caution would be taken in administering the vaccine.

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A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

Correct Answer is D

Explanation

A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

Correct Answer is C

Explanation

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