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 B

Explanation

Rationale:

A. Limit your fluid intake to 500 milliliters per day: Restricting fluids to this extent can lead to dehydration and concentrated urine, which may irritate the bladder and worsen incontinence symptoms. Maintaining adequate hydration is essential during bladder retraining.

B. Plan to urinate every 3 hours while you are awake: Scheduled voiding every 2 to 3 hours helps train the bladder to hold urine for longer intervals and reduces urgency episodes. This is a core component of effective bladder retraining for urge incontinence.

C. Decrease your intake of cranberry juice: Cranberry juice may help prevent urinary tract infections, though its benefit in incontinence management is limited. There is no need to avoid it unless advised for another reason, as it is not a known bladder irritant.

D. Take your diuretic medication with your evening meal: Taking diuretics late in the day increases nighttime urine production, leading to nocturia and disturbed sleep. Diuretics should be taken in the morning to align with daytime urinary patterns and reduce bladder strain at night.

A. Provide a diet high in protein and calories. B. Trim the fat from red meat prior to cooking. C. Give the child hot foods to reduce the sense of fullness D. Administer pancreatic enzymes 30 min after meals.

Correct Answer is A

Explanation

Rationale:

A. Provide a diet high in protein and calories: Children with cystic fibrosis require increased caloric and protein intake due to higher metabolic demands and malabsorption. A high-protein, high-calorie diet supports growth and energy needs, helping to compensate for nutrient loss.

B. Trim the fat from red meat prior to cooking: Fat should not be unnecessarily restricted in the diet of a child with cystic fibrosis. These children need extra fat for energy, and fat-soluble vitamin absorption is often impaired despite enzyme replacement.

C. Give the child hot foods to reduce the sense of fullness: There is no evidence that temperature of food affects satiety in children with cystic fibrosis. The focus should remain on maximizing caloric intake, regardless of food temperature preferences.

D. Administer pancreatic enzymes 30 min after meals: Pancreatic enzymes should be given immediately before or with meals and snacks to aid digestion. Delaying administration reduces their effectiveness and can lead to malabsorption and gastrointestinal symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?

Correct Answer is B

Explanation

A nurse is preparing to teach the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse plan to include?

Correct Answer is A

Explanation

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