A nurse is assessing a client prior to administering the influenza vaccine. The nurse should assess if the client has an allergy to which of the following foods?

Gelatin

Shellfish

Egg

Milk

Answer and Explanation

The Correct Answer is C

Rationale:

A. Gelatin: Gelatin allergies are more relevant when assessing for risk with certain vaccines like MMR or varicella, which may contain gelatin as a stabilizer. It is not a primary concern with most influenza vaccines.

B. Shellfish: Shellfish allergies are associated with reactions to iodine-based contrast, not vaccines. They do not impact the safety of receiving the influenza vaccine.

C. Egg: Many influenza vaccines are manufactured using egg-based processes, which can leave residual egg protein. Although most clients with egg allergies can now safely receive the vaccine, this allergy is still important to assess before administration.

D. Milk: Milk allergies are not linked to influenza vaccines and do not affect vaccine safety. There is no milk protein used in the manufacturing of flu vaccines.

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Correct Answer is ["D","E"]

Explanation

Rationale:

A. Respite care: Respite care is designed to temporarily relieve caregivers of people with chronic conditions, typically elderly or disabled clients. It is not suitable for a young adult needing home IV therapy unless there is a primary caregiver experiencing burnout, which is not indicated in this scenario.

B. Adult day care: Adult day care services are intended for older adults who need supervision and social interaction during daytime hours. This service is not relevant for a young adult receiving home-based IV therapy, which requires in-home clinical support rather than daytime supervision outside the home.

C. Medicare Part A: Medicare Part A covers hospital stays, skilled nursing, and limited home health services but is generally for individuals over 65 or those with qualifying disabilities. A young adult living in poverty without a qualifying disability would not typically be eligible for this benefit.

D. Medicaid: Medicaid provides comprehensive health coverage for low-income individuals of all ages and is often used to fund home healthcare services, including IV therapy. It is a key resource for ensuring this client receives needed care at home.

E. Food Stamps: The Supplemental Nutrition Assistance Program (SNAP), commonly known as Food Stamps, helps low-income individuals afford adequate nutrition. This support is crucial for clients below the poverty level, especially while recovering and managing ongoing healthcare needs.

Correct Answer is ["2"]

Explanation

Convert the available strength from milligrams (mg) to micrograms (mcg) to match the desired dose's unit.

Available strength = 0.025 mg/tablet

Since 1 mg = 1000 mcg,

Calculation:

Desired dose = 50 mcg.

Available strength in mcg = 0.025 mg/tablet × 1000 mcg/mg

= 25 mcg/tablet.

Calculate the number of tablets to administer.

Number of tablets = Desired dose (mcg) / Available strength (mcg/tablet)

= 50 mcg / 25 mcg/tablet

= 2 tablets.

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A nurse is assessing a client prior to administering the influenza vaccine. The nurse should assess if the client has an allergy to which of the following foods?

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Naxlex Comprehensive Predictor Exams

A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home V therapy. Which of the following resources should the nurse recommend? (Select all that apply.)

Correct Answer is ["D","E"]

Explanation

A nurse is preparing to administer levothyroxine 50 mcg to a client. Available is levothyroxine 0.025 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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