A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse
should recognize that Which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAV)?
The client has a history of myocardial infarction.
The client smokes one pack of cigarettes a day
The client's age is 62.
The client has recently traveled to Europe.
The Correct Answer is C
Rationale- Live attenuated influenza vaccine is a weakened form of the influenza virus that promotes production of antibodies in the host to fight infections in case of exposure to influenza virus. The virus is contraindicated in individuals with weak immune system such as those above 50 years old due to risk of causing severe infection.
A-History of MI is not an immunocompromised state
B-History of cigarette smoking predisposes to influenza infection but is not a contraindication to LAV D-History of travel to Europe could expose have exposed the client to influenza but that is not a
contraindication to LAV
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Zidovudine (AZT) is an antiretroviral drug used in treatment of HIV to suppress viral replication. It causes aplastic anemia, suppression of the bone marrow, leasing to reduces production of all hematopoietic cell lines including red blood cells, white blood cells, and platelets.
A, B, and D - are not associated with Zidovudine use
Correct Answer is A
Explanation
Morphine is an opioid analgesic that can cause respiratory depression especially when given in higher doses or to opioid-naive individuals. It's crucial to assess the client's respiratory rate before administering morphine to ensure that the client's respiratory status is stable. Respiratory depression can manifest as a decreased respiratory rate, shallow breathing, or signs of respiratory distress.
B, C, D- They are important vital signs but respiration takes priority and specific to opioid administration
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