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

Phenylephrine is an alpha-adrenergic agent. It binds onto adrenergic receptors producing a sympathetic effect that dilates the pupil. Dilation of the pupils allows for visualization of inner structures of the eye and easier access during retinal surgery.
A. Timolol is a beta-blocker eye drop used to reduce intraocular pressure in conditions like glaucoma.
B. Pilocarpine is a miotic agent (constricts the pupil) used to treat conditions like glaucoma.
C. Latanoprost is a prostaglandin analog used to lower intraocular pressure in glaucoma.

A. milk B. Cheddar cheese C. Cooked carrots D. Bananas

Correct Answer is D

Explanation

Furosemide is a loop diuretic that increases the excretion of potassium in the urine, leading to hypokalemia. Therefore, supplementation is important for clients on furosemide to prevent complications related to hypokalemia. One medium-sized banana contains approximately 400-450 mg of potassium and hence can help replenish potassium levels in individuals taking furosemide.
A, B, C contain very low potassium levels as compared to bananas

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

Correct Answer is D

Explanation

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?

Correct Answer is D

Explanation

A nurse is teaching a client Who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

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 a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide Will relieve her nausea. Which of the following explanations should the nurse provide?

A nurse is caring for a client Who has diabetes insipidus and is receiving vasopressin. The nurse should identify Which of the following findings as an indication that the medication is effective?

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?