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?

Neomycin

Gluten

Eggs

Gelatin

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

A. This response reassures the child that they are not to blame for the abuse and provides emotional support. It also establishes a sense of safety for the child to express their feelings.

B. Telling the child that they should have spoken up earlier may cause shame or guilt, which can further harm the child’s emotional well-being.

C. Promising not to tell anyone would be unethical because it is necessary to report suspected abuse to the appropriate authorities for the child's safety.

D. While this response acknowledges the injustice of the situation, it doesn't validate the child's feelings of fear or confusion in a way that encourages trust and healing.

A. Apply calamine lotion to the affected area. B. Flush the area with cold, running water. C. Instruct the parent to give the child an oatmeal bath twice daily. D. Administer an oral corticosteroid.

Correct Answer is B

Explanation

A. Applying calamine lotion is helpful for symptom relief but does not remove the poison ivy oil from the skin.

B. Flushing the affected area with cold, running water immediately after exposure helps to remove the poison ivy oil (urushiol) from the skin, which is crucial in preventing or reducing the severity of the rash.

C. While an oatmeal bath can help soothe itching, it is not the priority action in the acute stage of exposure.

D. Administering an oral corticosteroid may be necessary if the rash is severe, but flushing the area with water should be the first step in preventing further reaction.

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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?

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