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?
A school-age child who has rhinitis
A client who is at 27 weeks of gestation
An adolescent who received a new tattoo last week
A client who is about to travel to a different country
The Correct Answer is B
B. Pregnant individuals should not receive the LAIV. It is recommended that pregnant individuals receive the inactivated influenza vaccine (IIV) instead. Therefore, this client has a contraindication to receiving the LAIV.
A. Rhinitis, or inflammation of the nasal passages, is not a contraindication to receiving the LAIV. In fact, LAIV may be preferred over the inactivated influenza vaccine (IIV) for individuals without contraindications between the ages of 2 and 49 years.
C. Recent receipt of a tattoo is not a contraindication to receiving the LAIV. While LAIV should generally not be administered to individuals with compromised immune systems, recent tattooing is not considered a contraindication.
D. Traveling to a different country is not a contraindication to receiving the LAIV. However, individuals with certain medical conditions or who are immunocompromised should not receive the LAIV.
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Related Questions
Correct Answer is A
Explanation
A. According to the recommended immunization schedule, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, before starting school. This booster dose helps ensure long- term immunity against measles, mumps, and rubella.
B. The MMR vaccine is typically administered in two doses: the first dose at 12 to 15 months of age and the second dose at 4 to 6 years of age. There is no need for additional MMR immunizations over the next 2 years if the child receives the recommended doses.
C. While the child may receive additional immunizations at 3 years of age, such as the hepatitis B vaccine, the second dose of the MMR vaccine is typically administered at 4 to 6 years of age, not 3 years.
D. Titer testing is typically not recommended for determining the need for further MMR immunizations in young children. The immunization schedule provides specific recommendations for MMR vaccine doses based on age, rather than individual titers.
Correct Answer is C
Explanation
C. Sublingual nitroglycerin is rapidly absorbed through the mucous membranes under the tongue, and its effects are usually felt within 1 to 5 minutes. Patients should experience relief from angina symptoms shortly after administration.
A. While sublingual nitroglycerin can be taken every 5 minutes for a maximum of three doses for acute angina attacks, it should not be taken every 10 minutes. Taking it too frequently can lead to excessive vasodilation and potentially harmful side effects.
B. Nitroglycerin primarily dilates blood vessels rather than affecting heart rate. While it may cause a transient decrease in blood pressure, it does not typically slow heart rate.
D. Sublingual nitroglycerin should be taken on an empty stomach for optimal absorption. Food can delay absorption and decrease the effectiveness of the medication.
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