A nurse in an influenza clinic is collecting data from four clients. Which of the following clients should the nurse identify as having a contraindication for receiving the live attenuated form of the influenza vaccine?
An adolescent who received a new tattoo last week
A client is at 27 weeks of gestation
A client who is about to travel to a different country
A school-age child who has rhinitis
The Correct Answer is B
A. An adolescent who received a new tattoo last week: A tattoo does not contraindicate live vaccines.
B. A client is at 27 weeks of gestation: Live attenuated vaccines are contraindicated in pregnancy due to potential risk to the fetus.
C. A client who is about to travel to a different country: Travel does not contraindicate the vaccine unless the client has other risk factors.
D. A school-age child who has rhinitis: Mild illness such as rhinitis does not contraindicate live vaccines.
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Related Questions
Correct Answer is C
Explanation
A. Lorazepam: This medication is an anxiolytic and sedative, not indicated for neuropathic pain or trigeminal neuralgia.
B. Fluoxetine: This is an SSRI antidepressant, primarily used for mood disorders, not for the treatment of neuropathic pain.
C. Carbamazepine: This is the first-line treatment for trigeminal neuralgia. It is an anticonvulsant that stabilizes nerve membranes and reduces the hyperexcitability responsible for pain.
D. Methylphenidate: A CNS stimulant, used for ADHD and narcolepsy, not for trigeminal neuralgia.
Correct Answer is B
Explanation
A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.
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