Absolute contraindications to vaccine administration in children include (select all that apply)

A History of anaphylactic reaction to a specific vaccine or vaccine component

Moderate local reaction following a dose of an injectable vaccine

Presence of moderate or severe illnesses with or without a fever

Current treatment with antimicrobial medication

Answer and Explanation

Correct Answer : A,C

Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.

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Correct Answer is A

Explanation

Choice A rationale: A blood pressure reading of 72/56 mmHg may be expected after spinal anesthesia. The nurse should continue to monitor the blood pressure to ensure it stabilizes within an acceptable range for the individual patient.
Choice B rationale: Headache is a common side effect of spinal anesthesia, and the nurse should assess for this but should not be the first action with the given blood pressure reading.
Choice C rationale: Administering oxygen by nasal cannula may not be necessary based solely on the blood pressure reading after spinal anesthesia.
Choice D rationale: Elevating the client's feet is not the first intervention for a blood pressure reading of 72/56 mmHg after spinal anesthesia. It may be considered if the blood pressure remains low and symptoms of hypotension are present.

A. Nasal congestion B. Orthostatic hypotension C. Inhibition of ejaculation D. Reflex tachycardia

Correct Answer is B

Explanation

Choice A rationale: Nasal congestion is a common side effect of alpha1-adrenergic blockers, not a cause for concern.
Choice B rationale: Orthostatic hypotension is a potential adverse effect of alpha1- adrenergic blockers like prazosin. It can lead to dizziness and falls, particularly when moving from a lying or sitting position to a standing one.
Choice C rationale: Inhibition of ejaculation is a potential side effect of alpha1- adrenergic blockers but is not of the most concern compared to orthostatic hypotension.
Choice D rationale: Reflex tachycardia is not a typical adverse effect of alpha1- adrenergic blockers.

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Absolute contraindications to vaccine administration in children include (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has received spinal anesthesia. The nurse obtains a blood pressure reading of 72/56 mL/Hg. The nurse will

Correct Answer is A

Explanation

A patient is receiving Prazosin, a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

Correct Answer is B

Explanation

What is considered the maximum dose in 24 hours of acetaminophen?

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