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?
Eggs.
Gelatin.
Gluten.
Neomycin.
The Correct Answer is A
Choice A rationale
Eggs are a common allergen that can cause an anaphylactic reaction. Influenza vaccines are often produced using egg-based processes, which means they can contain residual egg protein. If a child has had an anaphylactic reaction to eggs, administering the influenza vaccine could trigger a severe allergic response. This contraindication ensures that the risk of life-threatening allergic reactions is minimized in children with a known egg allergy.
Choice B rationale
Gelatin is also used in some vaccines as a stabilizer. However, it is not commonly associated with the influenza vaccine. While an allergic reaction to gelatin can be serious, it is not a primary contraindication for the influenza vaccine. Therefore, an allergy to gelatin would not typically prevent a child from receiving this immunization.
Choice C rationale
Gluten is a protein found in wheat, barley, and rye. It is unrelated to the production of influenza vaccines and does not pose a risk for anaphylactic reactions in this context. Children with gluten allergies or celiac disease can safely receive the influenza vaccine without an increased risk of an allergic reaction.
Choice D rationale
Neomycin is an antibiotic that can be present in some vaccines to prevent bacterial contamination. Although neomycin can cause allergic reactions in some individuals, it is not a component of the influenza vaccine. Therefore, a prior anaphylactic reaction to neomycin would not contraindicate the administration of the influenza vaccine.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Collecting vital signs every 2 hours may not provide comfort and support to the child or family. Instead, it may contribute to unnecessary stress and anxiety for the child and family during this sensitive time. It is important to balance medical assessments with compassionate care.
Choice B rationale
Avoiding discussions about death may not be helpful for the child or family. Children, even those who are terminally ill, have the right to receive honest and age-appropriate information about their condition. Open communication helps them process their feelings and can provide a sense of closure.
Choice C rationale
Encouraging the family to involve siblings in caring for the terminally ill child can provide emotional support to both the ill child and the siblings. It fosters a sense of togetherness and helps siblings cope with the situation. It also allows siblings to express their love and support, which can be therapeutic for the entire family.
Choice D rationale
Performing passive range of motion to the child's extremities every 4 hours may be beneficial in maintaining joint flexibility and preventing contractures. However, it is not the primary focus in providing compassionate end-of-life care. Comfort measures and emotional support are more critical during this time.
Correct Answer is A
Explanation
Choice A rationale
The radial pulse is palpated at the wrist, on the thumb side. This is the most common site for checking pulse in a school-age child.
Choice B rationale
The inner side of the elbow is where the brachial pulse is palpated, commonly used for blood pressure measurements.
Choice C rationale
The neck is where the carotid pulse is palpated, generally used in emergencies when the radial pulse is not palpable.
Choice D rationale
The upper arm is where the brachial artery is located but is not used to measure the radial pulse.
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