A nurse should warn a client about which of the following adverse reactions that can occur after the administration of influenza vaccine (Fluzone)?
Fever.
Hypotension.
Sedation.
Constipation.
The Correct Answer is A
Choice A rationale:
Fever is a common side effect of the influenza vaccine (Fluzone). It's not usually a severe adverse reaction and is typically mild and short-lived. Patients should be informed about this potential side effect so they are aware and can take appropriate measures, such as taking antipyretic medications if needed.
Choice B rationale:
Hypotension is not a common adverse reaction to the influenza vaccine. While vaccines can sometimes cause allergic reactions, leading to symptoms like hypotension, this is very rare. Warning about this potential side effect would not be a priority.
Choice C rationale:
Sedation is not a common adverse reaction to the influenza vaccine. In general, the influenza vaccine is not associated with sedation. This side effect is more likely to be associated with medications or treatments other than vaccines.
Choice D rationale:
Constipation is not a common side effect of the influenza vaccine. Gastrointestinal symptoms like constipation are not typically associated with the influenza vaccine. It's important to focus on informing patients about potential side effects that are more likely to occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The most appropriate action for the nurse in this situation is to inform the primary healthcare provider. When a patient with a known penicillin allergy requires a cephalosporin, it's essential to inform the primary healthcare provider because cephalosporins, while structurally related to penicillins, may or may not cross-react with penicillin allergies. The provider needs to assess the patient's allergy history and determine if it's safe to administer the cephalosporin.
Choice B rationale:
Obtaining the patient's occupational history is not the most appropriate action in this scenario. Allergic reactions to medications are not related to the patient's occupation, and it doesn't address the immediate concern of potential cross-reactivity between penicillin and cephalosporin allergies.
Choice C rationale:
Administering an antipyretic drug is not the most appropriate action in this case. The patient's known penicillin allergy and the need for a cephalosporin are the primary concerns. Treating a potential allergic reaction with an antipyretic should only be considered after consultation with the primary healthcare provider.
Choice D rationale:
Obtaining specimens for kidney function tests is not the most appropriate action in this situation. While assessing kidney function is important in some cases, it doesn't address the immediate issue of the patient's penicillin allergy and the need for a cephalosporin. The primary focus should be on ensuring the safety of the antibiotic choice.
Correct Answer is B
Explanation
Choice A rationale:
Sedation Sedation is not typically associated with laxative use. Laxatives are primarily used to relieve constipation by promoting bowel movements, and sedation is not a common adverse reaction.
Choice B rationale:
Renal Impairment Renal impairment is a significant consideration when prescribing laxatives, especially those that may be excreted by the kidneys. In patients with renal impairment, there is a risk of drug accumulation, which could lead to potential adverse effects. The nurse should educate the client about this possibility to ensure their safety.
Choice C rationale:
Cramps Cramps are a possible adverse reaction to laxative use. Laxatives can cause gastrointestinal discomfort, including cramping and abdominal pain. However, it's essential to inform the client of this potential side effect so they can be prepared for it.
Choice D rationale:
Hepatic Impairment Hepatic impairment is not typically associated with adverse reactions to laxative use. Laxatives primarily affect the gastrointestinal system and do not directly impact the liver. Therefore, hepatic impairment is not a major concern when using laxatives.
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