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

Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.

B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.

C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics

D.Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.

A. Activated partial thromboplastin time (APTT) B. Bleeding time C. Prothrombin time (PT) D. Hemoglobin (Hgb)

Correct Answer is C

Explanation

warfarin inhibits vitamin K epoxide reductase interfering with the synthesis of vitamin K dependent clotting factors (II, VII, IX, and X). This prolongs the prothrombin time, expressed in the form of INR international normalized ratio. Monitoring of INR helps to ensure that the prescribed dosages are within the therapeutic levels without increasing the risk of bleeding. The target INR range is between 2.5 and 3.5.
A. Used to monitor heparin therapy

B, D- not used for monitoring

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

Correct Answer is A

Explanation

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Correct Answer is C

Explanation

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

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 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 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?

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for Which of the following potential adverse effects of this medication?

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For Which of the following adverse effects should the nurse monitor?

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?