A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before
administering it, the nurse must confirm that the client is not allergic to which of the following:

Eggs

Yeast

Gelatin

Shellfish

Answer and Explanation

The Correct Answer is A

Inﬂuenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the inﬂuenza vaccine.

Yeast, gelatin, and shellfish are not typically present in the seasonal inactive inﬂuenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.

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Correct Answer is B

Explanation

Rifampin can cause body ﬂuids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side eﬀect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.

A. Dyspnea, increased respiratory rate, and cyanosis. B. Restlessness, anxiety, and lethargy. C. Nasal ﬂaring and retraction of intercostal muscles. D. Pallor, stridor, and diaphoresis.

Correct Answer is A

Explanation

Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe eﬀectively.

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A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

Correct Answer is B

Explanation

Which symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?

Correct Answer is A

Explanation

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A nurse In a community health clinic is administering seasonal inactive inﬂuenza vaccine. Before
administering it, the nurse must confirm that the client is not allergic to which of the following: