A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?

A client who developed influenza after receiving the vaccine last year

A client who has hypertension

A client who has a history of Guillain-Barré syndrome

A client who has an allergy to dairy products.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Developing influenza after receiving the vaccine the previous year is not a contraindication for receiving the vaccine this year. In fact, the vaccine is recommended annually.

Choice B rationale:

Hypertension is not a contraindication for receiving the influenza vaccine.

Choice C rationale:

Clients with a history of Guillain-Barré syndrome should generally avoid receiving the influenza vaccine due to a potential increased risk of recurrence of the syndrome.

Choice D rationale:

Allergies to dairy products are not a contraindication for receiving the influenza vaccine.

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Correct Answer is A

Explanation

Choice A rationale:

Dry mouth is a common side effect of amitriptyline, which is a tricyclic antidepressant. Informing the client of potential side effects is important for their understanding and management of medication-related symptoms.

Choice B rationale:

Amitriptyline is not known to cause an increase in blood pressure. In fact, it can have a hypotensive effect.

Choice C rationale:

Weight loss is not a typical side effect of amitriptyline. It can often lead to weight gain.

Choice D rationale:

Amitriptyline can cause urinary retention rather than increased urination.

A. "Expect heavier menstrual bleeding while using the patch." B. "Place the patch on the upper thigh." C. "Apply the first patch within 24 hours of starting your menstrual cycle." D. "Apply a new patch at the same time each day."

Correct Answer is C

Explanation

A: Expecting heavier menstrual bleeding while using the patch is not a typical instruction given to clients. The patch may actually result in lighter, more regular bleeding.

B: The patch should not be placed on the upper thigh. According to the guidelines, the patch should be applied to clean, dry skin on the belly, buttocks, or back, and can also be placed on the outer part of the upper arm.

C: Applying the first patch within 24 hours of starting the menstrual cycle is correct. This ensures that the patch begins to work in sync with the client's natural cycle, providing immediate contraceptive protection.

D: A new patch should not be applied at the same time each day. Instead, it should be changed once a week on the same day, known as the "patch change day" to maintain consistent contraceptive coverage.

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A nurse is preparing to administer the influenza vaccine to a group of clients. For which of the following clients should the nurse withhold the vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has depression and a new prescription for amitriptyline. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

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Correct Answer is C

Explanation

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