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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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Offer the client a cold compress: While a cold compress might help with swelling or discomfort, it is more important to assess the client's pain level first to understand the cause of the grimacing.
B. Play music in the client's room as a distraction: This could help later, but pain needs to be addressed first.
C. Check the client's current level of pain: Grimacing could indicate pain, which should be evaluated and addressed first to provide comfort and prevent complications like increased stress or decreased respiratory effort.
D. Assist the client to reposition in bed: Repositioning could help alleviate discomfort, but pain should be assessed first to ensure the client is not in severe pain.

Correct Answer is ["1.2"]

Explanation

Convert the toddler’s weight from ponds to kgs: 26.4 lb/2.2 = 12 kg

Calculate the total dose in mg: 10 x 12 = 120 mg

Determine the volume of acetaminophen to administer: 120/80 x 0.8 = 1.2 mL

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

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 caring for a client who had abdominal surgery. The client is grimacing and has a respiratory rate of 24/min. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

Correct Answer is ["1.2"]

Explanation

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