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 D

Explanation

Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.

Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately

A. furosemide does not affect the blood glucose levels

B. furosemide is used to lower blood pressure by reducing venous return.

C. furosemide reduces fluid load by blocking water reabsorption in the kidney

A. Zolpidem B. Ibuprofen C. Omeprazole D. Senna

Correct Answer is D

Explanation

Senna is a laxative that works to stimulate bowel movements by irritating the intestinal lining in clients with constipation. In cases of small bowel obstruction, this can increase the risk of perforation or exacerbate the obstruction in cases.
A. Zolpidem is a sleep medication and is unlikely to affect the bowel obstruction.
B. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastric irritation but is not contraindicated in small bowel obstruction.
C. Omeprazole is a proton pump inhibitor used to reduce stomach acid production and is safe to use in small bowel obstruction.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

Correct Answer is D

Explanation

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should Withhold Which of the following medications?

Correct Answer is D

Explanation

A nurse is caring for a client Who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete Which priority assessment?

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

A nurse is caring for a client who has HIV-I infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for Which of the following adverse effects of this medication?

A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

A nurse is planning to administer butorphanol to a client Who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?

A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?

A nurse is completing a medication history for a client Who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?