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.

Answer and Explanation

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

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Free Nursing Study Resources

Correct Answer is A

Explanation

Grapefruit juice interacts with cyclosporine slowing down it's metabolism and excretion which can lead to increase blood levels potentially leading to toxicity. Clients taking cyclosporine should avoid consuming grapefruit juice.

B, C, D- smoked salmon, pepperoni, and orange juice do not typically have significant interactions with cyclosporine.

A. "Store sucralfate in the refrigerator." B. "Take sucralfate 1 hr before meals." C. "Take the tablets whole." D. "An antacid may be taken with the medication if indigestion occurs."

Correct Answer is B

Explanation

B. Taking sucralfate before meals allows it to form a protective coating on the ulcer, which can help to reduce irritation and promote healing.

A. Storing sucralfate in the refrigerator is unnecessary. Sucralfate tablets should be stored at room temperature away from moisture and heat.

C. It can be dissolved or broken

D. Antacids can interfere with the effectiveness of sucralfate by altering its pH-dependent mechanism of action. Therefore, they should be taken at least 30 minutes before or after sucralfate.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

Correct Answer is B

Explanation

A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use?

A nurse is providing discharge teaching to a client Who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

A nurse is caring for a client who has Wernicke—Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

A nurse is caring for a client Who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports Which of the following manifestations?

A nurse is providing discharge instructions to a client who has asthma and is about to Start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?