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 B

Explanation

A. The air bubble helps to ensure that the entire dose of medication is delivered and prevents bleeding from the injection site.
B. The nurse should plan to inject enoxaparin subcutaneously into abdominal tissue using a prefilled syringe without expelling the air bubble or aspirating prior to injecting the medication.
C. Aspiration is not recommended because it may cause hematoma formation.
D. Massaging the site is generally not recommended after enoxaparin injections to avoid bruising or hematoma formation.

A. Two loose stools in the past 24 hr B. WBC 11,000/mm3 C. Creatinine 3.1 mg/dL D. Heart rate 104/min

Correct Answer is C

Explanation

A. While diarrhea is a concern, it is a common side effect of vancomycin and may not be the highest priority.
B. Elevated white blood cell count may indicate infection but is not directly related to vancomycin therapy.
C. Elevated creatinine suggests kidney impairment, a potential side effect of vancomycin. This is a critical finding that needs immediate attention.
D. An elevated heart rate can be a side effect of vancomycin but is not as immediately concerning as renal impairment.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is C

Explanation

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