A nurse is assessing a client who received the measles, mumps, and rubella virus vaccine. Which of the following findings indicates an adverse reaction to the vaccination?
Bradycardia
Petechiae
Tinnitus
Blurred vision
The Correct Answer is B
MMR vaccine can cause bleeding under the skin presenting as petechiae. Petechiae are small red or purple spots caused by bleeding into the skin.
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A,C,D- MMR vaccine is not associated with bradycardia, tinnitus or blurred vision
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A-Injection of air ensures that the accurate dose is withdrawn into the syringe
B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.
C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.
D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.
Correct Answer is D
Explanation
The injection should be done on the anterolateral or posterolateral abdominal wall. This is because there is adequate distribution of subcutaneous tissue in this region preventing injection into the muscle.
C-The skin should be pinched to ensure that the injection is delivered into the subcutaneous tissue
A-Massaging the area may cause irritation
B-The bubble should not be expelled
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