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
Use of glasses in visual problems in the elderly avoid errors such as overdose. The use of insulin requires accurate visualization because overdosing the medication may lower the blood sugar levels too low leading to severe neuroglycopenic features or even death.
A- Long acting insulins like glargine are used as a basal insulin given once a day
B- The subcutaneous tissue is preferred
C- Insulin glargine is not added before exercise
Correct Answer is A
Explanation
The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.
B-Avoid rubbing a sit may increase the risk of bleeding /irritation
C-The injection is made into the anterolateral or posterolateral aspect of the thigh
D-The skin should not be released before injection as the medication may be injected into the muscle
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