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

Answer and Explanation

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.

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Correct Answer is C

Explanation

allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.

A-Weight measures are not necessary to evaluate the effectiveness of the TPN

B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary

D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.

A. Administer epinephrine 1M. B. Replace the infusion with 0.9% sodium chloride. C. Give diphenhydramine 1M, D. Elevate the client's legs and feet.

Correct Answer is A

Explanation

Epinephrine is administered as a priority in anaphylactic reaction to counter the mechanism of the reaction. Epinephrine helps to reverse the severe allergic response by constricting blood vessels, relaxing smooth muscles in the lungs to improve breathing, and reducing swelling and hives. It is typically administered intramuscularly (IM) into the thigh.

B-Replacing the infusion is important to maintain intravascular volume and blood pressure in the event of hypotension associated with the anaphylactic reaction but not a priority

C-Diphenhydramine helps in managing the cutaneous allergic manifestations but does not address the life-threatening effects

D-Elevation of the client’s feet and legs is not necessary

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