Which client information should the practical nurse (PN) obtain prior to preparing a dose of the influenza vaccine?

Immune status

Age

Food allergies

Gender

Answer and Explanation

The Correct Answer is A

Choice A reason: Immune status is critical before administering the influenza vaccine, as immunocompromised individuals may have reduced vaccine efficacy or increased risk of adverse reactions. Conditions like HIV or chemotherapy weaken immune responses, requiring tailored vaccination strategies. Assessing immune status ensures the vaccine is safe and effective, guiding clinical decisions.

Choice B reason: While age influences vaccine type (e.g., high-dose for older adults), it is less critical than immune status for safety. Age is typically already known from records and does not directly affect immediate vaccine administration decisions. This choice is less relevant compared to immune status evaluation.

Choice C reason: Food allergies are generally irrelevant to influenza vaccines, which are not derived from food allergens. However, egg allergies may be considered for certain vaccines due to manufacturing processes, but this is distinct from food allergies broadly. This choice is incorrect as it lacks direct relevance.

Choice D reason: Gender does not impact influenza vaccine administration. Vaccine efficacy and safety are not significantly influenced by gender-specific physiological differences. This choice is incorrect, as it does not provide critical information needed to ensure the vaccine’s safety or effectiveness for the client.

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Correct Answer is A

Explanation

Choice A reason: Tetracycline causes photosensitivity, increasing UV-induced skin damage risk due to its accumulation in skin cells, triggering photochemical reactions. Protecting skin with sunblock or clothing prevents severe sunburn or rash, making this critical instruction for safe use during chlamydia treatment.

Choice B reason: Taking tetracycline with meals or milk reduces absorption, as calcium and magnesium bind the drug, forming insoluble complexes. This decreases efficacy, making it incorrect. Tetracycline should be taken on an empty stomach to ensure optimal bioavailability for infection treatment.

Choice C reason: Grapefruit juice affects drugs metabolized by CYP3A4, not tetracycline, which is not significantly influenced by this enzyme. This instruction is irrelevant, as tetracycline’s pharmacokinetics are unaffected by grapefruit, making it unnecessary for managing chlamydia treatment.

Choice D reason: Wearing tampons during menses is unrelated to tetracycline use. The drug treats bacterial infections, not menstrual management, and has no gynecological implications requiring tampon use. This choice is irrelevant to the medication’s administration or side effect profile.

A. Confer with the charge nurse about the need to administer the medication B. Advise the client to call the PN for symptoms of increasing blood pressure C. Withhold the medication and recheck the client’s blood pressure in one hour D. Administer the scheduled dose of the antihypertensive medication

Correct Answer is D

Explanation

Choice A reason: Conferring with the charge nurse is unnecessary, as a blood pressure of 120/72 mm Hg is within normal range for a client on maintenance antihypertensive therapy. Maintenance doses prevent hypertension recurrence, and this reading does not indicate a need to alter the schedule.

Choice B reason: Advising the client to report rising blood pressure symptoms is general education, not an action addressing the current situation. The blood pressure is normal, and the maintenance dose is indicated to sustain control, making this choice irrelevant for immediate action.

Choice C reason: Withholding the medication and rechecking in an hour risks blood pressure spikes, as maintenance therapy prevents hypertension. A normal reading of 120/72 mm Hg indicates effective control, and stopping the dose could destabilize the client’s condition, making this choice inappropriate.

Choice D reason: Administering the scheduled antihypertensive dose is correct, as 120/72 mm Hg indicates effective blood pressure control. Maintenance therapy sustains normotension by regulating vascular tone or fluid balance, preventing hypertensive episodes, ensuring cardiovascular stability, and aligning with the prescription’s intent.

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Which client information should the practical nurse (PN) obtain prior to preparing a dose of the influenza vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving tetracycline for chlamydia urethritis. The practical nurse (PN) should reinforce which instruction?

Correct Answer is A

Explanation

The practical nurse (PN) is preparing to administer a maintenance dose of an antihypertensive medication to an adult client and notes that the client’s blood pressure is 120/72 mm Hg. Which action should the PN take?

Correct Answer is D

Explanation

A client receives a prescription for itraconazole. Which information provided by the client indicates to the practical nurse (PN) additional instruction is needed?

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The practical nurse (PN) is checking the insulin dose drawn up by another PN and notes that the amount of insulin is 2 units more than the amount indicated for the glucose level written on the client’s medication record. Which action should the PN take?

At the start of the shift, the practical nurse (PN) reviews a client’s medication administration record and notes that a client has a new prescription for a diuretic to be administered at bedtime. Which action should the PN take?

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