A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?

Blurred vision

Dry mouth

Tinnitus

Headache

Answer and Explanation

The Correct Answer is D

A.   Blurred vision is not a common adverse effect of the meningococcal conjugate vaccine.
B.   Dry mouth is not a common adverse effect of the meningococcal conjugate vaccine.
C. Tinnitus is not a common adverse effect of the meningococcal conjugate vaccine.
D.   Headache is a common side effect after receiving the meningococcal conjugate vaccine.

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Correct Answer is D

Explanation

A. Nitroglycerin is meant to be absorbed under the tongue, and water is not necessary.
B. The client should take up to three doses 5 minutes apart and seek emergency medical attention if pain persists. The maximum number of tablets that should be taken in 15 minutes is 3 and not 4 since this could cause severe hypotension and headache.
C. Nitroglycerin tablets are meant to be dissolved under the tongue, not chewed or swallowed.
D. Sublingual nitroglycerin is used to prevent angina attacks by dilating the coronary arteries and increasing blood flow to the heart. The client should take one tablet for 5 to 10 minutes before engaging in an activity that might trigger angina, such as exercise, stress, or cold exposure.

A. Administer the medication with a 27-gauge 7-inch needle B. Inject the medication at least 5 cm (2 in) from the umbilicus C. Give the medication without aspirating prior to injection D. Use the Z-track technique to administer the medication

Correct Answer is D

Explanation

A. The needle size may be appropriate, but the Z-track technique should be used to prevent leakage of the medication into subcutaneous tissue.
B. The site may be appropriate, but the Z-track technique should be used.
C. Aspiration is necessary to ensure the needle is not in a blood vessel before injecting the medication.
D. The Z-track technique helps prevent the medication from leaking into subcutaneous tissue.

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A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?

Nursing Test Bank

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