A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify that which of the following medications prescribed to the client is a contraindication for receiving this vaccine?
Metformin
Methotrexate
Esomeprazole
Estrogen
The Correct Answer is B
A. Metformin is not a contraindication for receiving the shingles vaccine.
B. Methotrexate, an immunosuppressant medication, can interfere with the efficacy of live vaccines such as the shingles vaccine, and it is generally contraindicated to administer live vaccines to individuals taking immunosuppressants.
C. Esomeprazole, a proton pump inhibitor, is not a contraindication for receiving the shingles vaccine.
D. Estrogen is not a contraindication for receiving the shingles vaccine.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Respiratory rate: While propranolol can potentially affect respiratory function in individuals with certain respiratory conditions, such as asthma, assessing the respiratory rate is not typically a priority assessment before administering propranolol.
B. HR rate: Propranolol is a beta-blocker that primarily affects heart rate and blood pressure.
Therefore, assessing the heart rate (HR) is crucial prior to administering propranolol, as it can cause bradycardia and heart block.
C. Pain level: Propranolol is not typically associated with pain modulation or analgesic effects.
Assessing pain level may be relevant for other medications or conditions but is not specifically related to propranolol administration.
D. Temperature: Propranolol does not typically affect body temperature, and assessing temperature is not typically necessary before administering propranolol.
Correct Answer is D
Explanation
A. Pallor: Pallor refers to paleness of the skin and is not typically associated with an allergic reaction to penicillin G IM.
B. Dyspepsia: Dyspepsia refers to indigestion or discomfort in the upper abdomen and is not typically associated with an allergic reaction to penicillin G IM.
C. Bradycardia: Bradycardia refers to a slow heart rate and is not typically associated with an allergic reaction to penicillin G IM.
D. Urticaria: Urticaria, commonly known as hives, is a characteristic manifestation of an allergic reaction to penicillin G IM. It presents as raised, red, itchy welts on the skin.
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