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?

Choice A rationale:

The gauge and length of needle used for an IM injection are important to document. This information can help track which supplies were used and can be useful for future reference.

Choice B rationale:

While it’s important to check the medication expiration date before administration, it’s not typically documented after administering medication.

Choice C rationale:

The dose of medication administered should always be documented. This helps ensure accurate medical records and allows healthcare providers to track how much of a medication a patient has received.

Choice D rationale:

The site of injection should be documented. This can help prevent complications such as repeated use of the same injection site.

Choice E rationale:

The time of administration should be documented. This helps keep track of when the patient received their medication, which is crucial for medications that need to be given at specific intervals.

Step 1: Convert the child's weight from pounds to kilograms.

44 pounds / 2.2 pounds/kg = 20 kg

Step 2: Calculate the child's total daily dose of gentamicin.

20 kg * 6 mg/kg/day = 120 mg/day

Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.

120 mg / 3 doses/day = 40 mg/dose

Step 4: Calculate the volume of gentamicin to be administered with each dose.

40 mg / 40 mg/mL = 1 mL/dose

Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.

1 mL/dose = 1 mL/dose

Answer: 1 mL with each dose.