A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?
An older adult client living in a long-term care facility
A young adult who has an allergy to eggs
A child who recently received the human papillomavirus vaccine
A client who has AIDS
The Correct Answer is D
This group of individuals is not typically contraindicated for the varicella vaccine. In fact, older adults who have not been previously vaccinated or have not had chickenpox are often encouraged to receive the vaccine.
The varicella vaccine is produced using embryonated chicken eggs. Individuals with a severe allergy to eggs (such as anaphylaxis) should avoid this vaccine. However, most people with mild egg allergies can safely receive it. A healthcare provider should assess the severity of the egg allergy before making a decision.
There is no known contraindication between the varicella vaccine and the human papillomavirus (HPV) vaccine. These vaccines target different infections and can be administered independently.
Individuals with advanced immunosuppression, including those with AIDS, should not receive the varicella vaccine. Their weakened immune system may not respond effectively to the vaccine, and there is a risk of disseminated varicella infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives
A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.
This leads to subtherapeutic levels that increases the risk of pregnancy.
B- The prescription may vary
C- Rifampin causes staining of contact lens and should, therefore, be avoided
Correct Answer is D
Explanation
Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs, which is desirable, especially in clients who are at risk of neutropenia (low WBC count) due to chemotherapy or other factors.
Monitoring potassium levels is important for clients receiving certain medications or experiencing conditions that can affect potassium balance, but it is not specifically related to filgrastim therapy.
BUN is a measure of kidney function and hydration status, but it is not typically monitored to evaluate the effectiveness of filgrastim treatment.
INR is a measure of blood clotting and is primarily monitored in clients receiving anticoagulant therapy, such as warfarin. It is not relevant to filgrastim therapy.
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