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 B

Explanation

Choice A rationale:

Requesting an opportunity to discuss trauma might be indicative of the client's desire to process their experiences, but it's not a specific symptom of PTSD.

Choice B rationale:

Recurrent nightmares are a common symptom of PTSD, often related to the traumatic event.

Choice C rationale:

Indicating working extra hours is not a specific symptom of PTSD.

Choice D rationale:

Exhibiting diminished reflexes is not a typical symptom of PTSD.

A. Low dietary intake of fiber B. Prolonged use of steroids C. Insufficient intake of protein D. Family history of gallbladder disease

Correct Answer is A

Explanation

Choice A rationale:

Low dietary intake of fiber is a significant risk factor for diverticular disease. A diet low in fiber can lead to constipation and increased pressure in the colon, contributing to the formation of diverticula.

Choice B rationale:

Prolonged use of steroids is not a primary risk factor for diverticular disease.

Choice C rationale:

Insufficient intake of protein is not a significant risk factor for diverticular disease.

Choice D rationale:

Family history of gallbladder disease is not directly associated with an increased risk of diverticular disease.

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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

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