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. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.

B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.

C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.

D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.

A. Changes in height and weight slow down at the onset of adolescence. B. Decisions should be discussed with the parents privately because the adolescent is a minor. C. Adolescents have little interest in discussing health promotion activities. D. The timing of puberty onset affects adolescent self-esteem.

Correct Answer is D

Explanation

A. Growth and changes in height and weight accelerate during adolescence, particularly in the early years, as part of the growth spurt.

B. While it is important to involve parents, adolescent clients should be encouraged to participate in decision-making about their health, as they are developing autonomy. Health decisions should include both the adolescent and the parents when possible.

C. Adolescents are often highly interested in discussing health promotion, particularly topics that are relevant to their peer group, such as body image, sexual health, and mental health.

D. The timing of puberty can significantly impact an adolescent’s self-esteem. Early or late onset of puberty may lead to feelings of self-consciousness or social challenges. Understanding this developmental change is essential in supporting the adolescent’s emotional and psychological well-being.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for a newly admitted adolescent client. Which of the following information should the nurse consider?

Correct Answer is D

Explanation

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