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 D
Explanation
A. A high-fat, low-protein diet is not appropriate for a toddler with cystic fibrosis. The body’s increased need for protein due to malabsorption requires a higher protein intake to support growth and repair.
B. A low carbohydrate, high-fat diet is not ideal for a child with cystic fibrosis. The child requires a balanced diet to meet their energy needs, with adequate carbohydrates, fats, and proteins.
C. A moderate protein, low-calorie diet would not meet the nutritional needs of a toddler with cystic fibrosis. The child needs a high-calorie diet to compensate for the malabsorption of nutrients.
D. A high-protein, high-calorie diet is the recommended diet for children with cystic fibrosis, as they have increased metabolic demands and require more calories and protein to support growth and prevent malnutrition.
Correct Answer is A
Explanation
A. A 9-month-old infant is expected to demonstrate a crude pincer grasp, which involves picking up small objects between the thumb and forefinger. This is a developmental milestone for this age.
B. While infants may shake their heads by this age, it is typically not used in the context of saying "no." This action is usually a sign of exploration or reaction to stimulation.
C. A 9-month-old typically does not use two-word phrases. By this age, infants are usually babbling and may say single words like "mama" or "dada."
D. A 9-month-old is not expected to build a tower of four blocks. By 12-15 months, infants may begin to stack blocks.
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