A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?
Neomycin
Gluten
Eggs
Gelatin
The Correct Answer is C
A. Neomycin is not a contraindication to the influenza vaccine. However, if a person has a known neomycin allergy, they should avoid specific vaccines containing neomycin, but this is not typically a concern with the influenza vaccine.
B. Gluten allergies are not a contraindication for the influenza vaccine. Gluten is not an ingredient in most influenza vaccines, so a gluten allergy would not impact vaccine administration.
C. The influenza vaccine contains trace amounts of egg proteins, and individuals who have had a severe allergic reaction (anaphylaxis) to eggs should not receive this vaccine, or they should receive it under close supervision with appropriate precautions. This is because egg-based production methods of the vaccine may pose a risk.
D. Gelatin is a common ingredient in some vaccines, but a gelatin allergy is not typically a contraindication for the influenza vaccine. However, if a child has a severe allergic reaction to gelatin, caution would be taken in administering the vaccine.
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Related Questions
Correct Answer is A
Explanation
A. Children with asthma are at an increased risk for respiratory infections, including pneumococcal infections. Therefore, pneumococcal immunization is recommended for children with asthma to help prevent pneumonia and other infections.
B. Salmeterol is a long-acting beta-agonist used for asthma maintenance and not for acute exacerbations. The nurse should instruct the guardian to use a quick-relief bronchodilator (e.g., albuterol) for acute symptoms.
C. When using a peak flow meter, the child should inhale as deeply as possible, but the exhalation should be long and forceful. Inhaling quickly may not give an accurate reading of lung function.
D. Physical activity and sports are important for children with asthma, as long as their asthma is well controlled. The nurse should not recommend avoiding school sports unless the child has an active exacerbation or poor asthma control.
Correct Answer is D
Explanation
A. The Poker Chip Tool is used to assess pain in children who can understand the concept of "a few" to "lots" of pain, typically in older children. It is not appropriate for infants or toddlers.
B. The Color tool is used for children who can associate color with pain intensity, but it is generally for older children who can understand this system, not for infants.
C. The Numeric scale is designed for children who are old enough to understand and use numbers (typically older than 8 years). An 18-month-old would not be able to understand this scale.
D. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed to assess pain in infants and nonverbal children. It uses behavioral indicators to rate pain intensity and is appropriate for an 18-month-old toddler.
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