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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?

A.

Neomycin

B.

Gluten

C.

Eggs

D.

Gelatin

Answer and Explanation

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 "{\"xRanges\":[93.828125,113.828125],\"yRanges\":[223,243]}"

Explanation

A. Lateral aspect: The preferred location for performing a heel stick on a neonate is the lateral (outer) aspect of the heel, avoiding the central area and the arch of the foot. This area contains fewer nerve endings and less tissue, making it safer and less painful for the infant. It also minimizes the risk of injury to the underlying bones, blood vessels, and nerves.

B. Heel: The heel is not recommended as a puncture site because it contains fat, bone, and nerves, and puncturing the heel could cause injury or complications such as osteochondritis (bone infection). This site also carries a higher risk of injury to blood vessels and tendons.

C. Medial aspect: The medial (inner) aspect of the heel is also not recommended because it is near the medial plantar artery and nerves. Puncturing this area could result in damage to these structures, leading to complications. The lateral aspect is a safer, preferred location.

Correct Answer is B

Explanation

A. Chocolate malt typically contains malted barley, which contains gluten. This would not be appropriate for a child with celiac disease, as gluten can trigger an immune response and cause damage to the small intestine.

B. Rice is a gluten-free grain, making rice pudding a safe food choice for children with celiac disease. The parent demonstrates understanding of appropriate gluten-free foods.

C. Rye bread contains gluten, which is harmful to individuals with celiac disease. Rye is not a suitable option for this child.

D. Barley contains gluten and should be avoided in children with celiac disease. Barley-based breakfast cereals would not be safe for the child.

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