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 C
Explanation
Oxycodone is an opioid analgesic medication that acts primarily on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, where breathing becomes slow and shallow. This effect occurs because opioids suppress the activity of the respiratory centers in the brainstem, leading to decreased respiratory rate and depth.
A-oxycodone has no effect on sodium channels
B-opioids cause vasodilation of cerebral vessels but this does not directly affect respiration D-Opioids have no effect on prostaglandin synthesis
Correct Answer is C
Explanation
Furosemide and amikacin. Furosemide and aminoglycosides are ototoxic and can cause hearing loss. The nurse should monitor for any signs of hearing disturbances such as tinnitus. The other drugs listed in the options have no effect on hearing.
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