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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Renal function typically declines with age, leading to a decrease in glomerular filtration rate (GFR) and renal blood flow. As a result, medications may be excreted more slowly from the body, leading to an increased risk of drug accumulation and potential toxicity. Adjustments in medication dosages or dosing intervals may be necessary to account for this age-related change.
B. Brain receptors do not change significantly. However, older adults may require lower doses to achieve the same therapeutic effect due to reduced receptor sensitivity.
C. Gastric emptying tends to slow down with age rather than increase. Delayed gastric emptying can affect the absorption of orally administered medications, leading to unpredictable drug levels and potentially reduced efficacy.
D. Hepatic function generally decreases with age, leading to a decline in the metabolic capacity of the liver. This can result in slower drug metabolism and clearance, prolonging the duration of action of medications and increasing the risk of adverse effects.
Correct Answer is C
Explanation
C. Carbamazepine is the drug of choice for managing trigeminal neuralgia pain. It is effective in reducing the frequency and severity of painful episodes associated with the condition.
A. Lorazepam is a benzodiazepine medication used to treat anxiety and certain seizure disorders. It is not typically used as a first-line treatment for trigeminal neuralgia pain.
B. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant medication used to treat depression, anxiety disorders, and certain other conditions. It is not indicated for the management of trigeminal neuralgia pain.
D. Methylphenidate is a central nervous system stimulant medication commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. It is not indicated for the management of trigeminal neuralgia pain.
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