The nurse administering influenza vaccinations to a group of office workers would not offer the vaccine to a client who
a. has a history of asthma.
b. is allergic to eggs.
c. is allergic to sulfa drugs.
d. takes amoxicillin for a bladder infection.
B
Clients allergic to eggs or who have a history of Guillain-Barré syndrome should not receive an influenza vaccine.
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A nurse is performing a comprehensive assessment of new male client, age 76 years. Which of the following components of the nurse's assessment relate directly to the holistic model? Select all that apply
A) Measuring the client's apical heart rate. B) Asking the client about his church involvement. C) Identifying the support systems that the client believes he possesses. D) Eliciting the client's immunization history.
The pediatric nurse is caring for a child with viral conjunctivitis. Which of the following is important information to discuss with the parents and child?
A) The condition is highly contagious and handwashing is extremely important. B) The importance of compliance with antibiotic therapy. C) The signs and symptoms of complications such as meningitis and septicemia. D) The importance of surgery to prevent scarring of the conjunctiva.
The client with bulimia nervosa is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to anxiety?
A) Project a calm, reassuring attitude and provide a quiet non-stimulating environment. B) Maintain total control of the environment and project an attitude of authority. C) Contract for safety since the client is likely to engage in self-injurious behavior. D) Assume a matter-of-fact attitude and show positive expectations of the client.
A client with severe schizophrenia is seen monthly by a community mental health nurse for administration of fluphenazine decanoate (Prolixin Decanoate). During one monthly visit, the client refuses the medication
Which nursing intervention is ethically appropriate? A) Telling the client it is his right not to take the medication B) Informing the client that if he does not take his medication he will have to be hospitalized C) Arranging with a relative to add medication to the client's morning orange juice D) Calling for help to hold the client down while the medication is administered