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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Correct Answer is A

Explanation

vitamin C and other fruit juices (except grape juice) enhance the absorption of oral iron supplements in the gastrointestinal tract. Therefore, the clients are encouraged to take the supplements along with such fruit juices.

B. Rinsing the mouth should be done after to prevent staining of teeth

C. Taking the supplement on an empty stomach promotes gastrointestinal irritation

D. Dairy products inhibit iron absorption and should therefore be avoided

A. Administer an inhaled glucocorticoid. B. Determine the cause of the acute exacerbation. C. Obtain a peek flow reading. D. Administer a short-acting ß2 -agonist (SABA).

Correct Answer is D

Explanation

Status asthmaticus is an acute, life threatening exacerbation of asthma causes by bronchospasm on exposure to a trigger. Status asthmaticus can lead to respiratory failure. Short acting beta 2 agonists bind to beta 2 receptors on the airway epithelium causing bronchodilation and promotes air flow. They are used as first line due to their short onset of action.
A. Administering an inhaled glucocorticoid is used for long term control of inflammation in asthma but has no role in acute attacks
B. Identification of triggers is important but not a priority in status asthmaticus.
C. Obtaining a peak flow reading is useful but not a priority.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide?

Correct Answer is A

Explanation

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Correct Answer is D

Explanation

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

A nurse in a provider's clinic is assessing a client Who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take?

A nurse is caring for a client Who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

A nurse is caring for a client Who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/I— Which of the following actions should the nurse take?