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. Probiotics: Probiotics are used to support gastrointestinal and immune health and do not significantly affect blood pressure or pose a known risk for intraoperative hypotension.

B. Black Cohosh: Black cohosh is often used to manage menopausal symptoms and is known to cause vasodilation, which can lower blood pressure. When combined with anesthetic agents, it can potentiate hypotensive effects during surgery.

C. Soy: Soy is consumed for its phytoestrogenic effects but does not have a direct or significant hypotensive action that increases surgical risk. Its impact on intraoperative blood pressure is minimal.

D. Flaxseed: Flaxseed may offer mild antihypertensive effects over time due to its omega-3 content, but it is not typically associated with clinically significant drops in blood pressure during surgery.

A. Human papillomavirus B. Candidiasis C. Chlamydia D. Herpes simplex virus

Correct Answer is C

Explanation

Rationale:

A. Human papillomavirus: HPV is a common viral STI, but it is not classified as a nationally notifiable disease. Although certain strains are linked to cervical cancer, cases of HPV infection are not routinely reported to public health authorities.

B. Candidiasis: Candidiasis is a fungal infection, not a sexually transmitted infection. It is typically caused by Candida overgrowth and does not require notification to public health departments, as it is not considered a reportable condition.

C. Chlamydia: Chlamydia is one of the most commonly reported nationally notifiable STIs in the U.S. All confirmed cases must be reported to state or local health departments for monitoring, surveillance, and public health intervention.

D. Herpes simplex virus: Although HSV is a common STI, it is not routinely included on the list of nationally notifiable diseases unless part of an outbreak or neonatal herpes case. Therefore, individual adult cases are typically not reported.

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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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