Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse In a community health clinic is administering seasonal inactive influenza vaccine. Before
administering it, the nurse must confirm that the client is not allergic to which of the following:
A. Eggs
Influenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the influenza vaccine. Yeast, gelatin, and shellfish are not typically present in the seasonal inactive influenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.
B. Yeast
C. Gelatin
D. Shellfish
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Pharmacology Proctored Exam 2. Take the full exam now
Full Explanation
Influenza vaccine production involves growing the virus in eggs. Therefore, the vaccine may contain trace amounts of egg proteins. Some individuals may be allergic to egg proteins and may experience an allergic reaction after receiving the vaccine. For this reason, healthcare providers should always ask their patients about egg allergies before administering the influenza vaccine.
Yeast, gelatin, and shellfish are not typically present in the seasonal inactive influenza vaccine, so allergy to these substances is not a concern when administering the vaccine. However, if a person has a known allergy to any of the ingredients in the vaccine, they should inform their healthcare provider before receiving it.
Similar Questions
A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?
A. A recent history of diarrhea for 3 days.
B. Serum creatinine 0.8 mg/dL.
C. Severe allergy to amoxicillin.
Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately. A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider. A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a different site or route for administration if necessary.
D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.
Full Explanation
Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.
A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.
A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.
A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a different site or route for administration if necessary.
A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should Identify that prophylactic antibiotic therapy is not recommended for which of the following clients?
A. A client who bn a fever of unknown origin
Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse effects.
B. A client who has a prosthetic heart valve is having dental surgery
Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.
C. A client who had an emergency cesarean section
Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.
D. A client following total hip arthroplasty.
Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.
Full Explanation
Prophylactic antibiotics are antibiotics given to prevent an infection from occurring. They are often used in situations where there is a high risk of infection, such as during surgery or dental procedures. However, prophylactic antibiotics are not recommended for all clients.
Option b is a situation where prophylactic antibiotics are recommended. Clients with prosthetic heart valves are at an increased risk of developing infective endocarditis (infection of the heart lining) during dental procedures due to the risk of bacteria entering the bloodstream.
Option c is another situation where prophylactic antibiotics may be used. Clients who have had an emergency cesarean section are at an increased risk of developing post-operative infections, and prophylactic antibiotics may be given to prevent this.
Option d is also a situation where prophylactic antibiotics may be used. Total hip arthroplasty is a surgical procedure that involves replacing the hip joint with a prosthesis. Clients who undergo this procedure are at an increased risk of developing a surgical site infection, and prophylactic antibiotics may be given to prevent this.
Option a, on the other hand, does not warrant prophylactic antibiotics. A fever of unknown origin does not necessarily indicate an infection, and antibiotics should only be given when there is a confirmed bacterial infection. Inappropriate use of antibiotics can lead to antibiotic resistance and other adverse effects.
A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?
A. Wash the affected area with soap and water before applying cream.
According to Mayo Clinic, before applying gentamicin topical cream, one should wash the affected area with soap and water and dry thoroughly. Then apply a small amount to the affected area and rub in gently.
B. Apply a heavy layer of cream well beyond the border of the affected site.
C. The meditation might cause temporary blurted vision.
D. Increase intake of fluids while using this medication
Full Explanation
According to Mayo Clinic, before applying gentamicin topical cream, one should wash the affected area with soap and water and dry thoroughly. Then apply a small amount to the affected area and rub in gently.
