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:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

A. "My child should not receive the vaccine if she is allergic to eggs." B. "There is a series of three doses of the vaccine that my child will receive." C. "My child should not take aspirin for 6 weeks following vaccination." D. "The vaccine will be injected into the muscle of my child's upper arm."

Correct Answer is C

Explanation

Choice A rationale:

Allergic reactions to eggs are a concern with some vaccines, but the varicella vaccine is generally considered safe for children with egg allergies.

Choice B rationale:

The varicella vaccine is typically given in two doses, not three. Choice C rationale:

Children should avoid taking aspirin for about 6 weeks after receiving the varicella vaccine to reduce the risk of Reye's syndrome, a rare but serious condition associated with aspirin use during viral infections.

Choice D rationale:

The varicella vaccine is usually administered subcutaneously, not into the muscle.

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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 developing a plan of care while admitting a client who has anorexia nervosa. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

A nurse is teaching the parent of an infant about the varicella virus vaccine. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

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