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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Sore throat: Sore throat is a potential sign of agranulocytosis, a serious adverse effect of carbamazepine, and should be reported to the provider immediately.
B. Increased salivation: Increased salivation is not typically associated with carbamazepine and is not considered a common adverse effect.
C. Urge incontinence: Urge incontinence is not a known adverse effect of carbamazepine.
D. Gingivitis: Gingivitis is not a typical adverse effect of carbamazepine and is not generally a concern for this medication.

A. Concurrent use of chondroitin B. Concurrent use of calcium supplements C. Penicillin allergy D. Sulfonamide allergy

Correct Answer is D

Explanation

A. Concurrent use of chondroitin: Chondroitin is commonly used to treat osteoarthritis and can generally be used safely alongside celecoxib.
B. Concurrent use of calcium supplements: Calcium supplements do not have a contraindication with celecoxib and can be used concurrently.
C. Penicillin allergy: A penicillin allergy does not affect the use of celecoxib, as it is unrelated to the penicillin class of antibiotics.
D. Sulfonamide allergy: Celecoxib is a sulfonamide-based medication, so clients with a sulfonamide allergy should not take it due to the risk of an allergic reaction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking carbamazepine. Which of the following is an adverse effect of carbamazepine and should be reported to the provider?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat osteoarthritis. Which of the following should the nurse recognize as a contraindication for this medication?

Correct Answer is D

Explanation

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