What is the priority nursing assessment for the nurse to perform after administering vaccines?

Symptoms of infection

Anaphylaxis

Pain at the injection site

Myalgia

Hyperthermia

Answer and Explanation

The Correct Answer is B

Choice A reason: While symptoms of infection are important to assess, they are not the immediate priority following vaccine administration.

Choice B reason: Anaphylaxis is a rapid, potentially life-threatening allergic reaction that can occur after vaccination, making it the priority assessment.

Choice C reason: Pain at the injection site is common and expected, but it is not as critical as assessing for anaphylaxis.

Choice D reason: Myalgia, or muscle pain, may occur after vaccination but is not the immediate priority for assessment.

Choice E reason: Hyperthermia, or elevated body temperature, could indicate an adverse reaction; however, anaphylaxis is the most urgent concern to address post-vaccination.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","D","E","F"]

Explanation

Choice A reason: Elevated high-density lipoproteins (HDL) are actually protective against heart disease.
Choice B reason: Increased triglyceride levels are a risk factor for vascular disease and should be addressed.
Choice C reason: Hypothyroidism is not a component of metabolic syndrome but should be managed if present.
Choice D reason: High blood pressure is a component of metabolic syndrome and increases the risk for vascular disease.
Choice E reason: Abdominal obesity is a key component of metabolic syndrome and is associated with increased risk for diabetes and vascular disease.
Choice F reason: Hyperglycemia is a sign of impaired glucose tolerance or diabetes and is a component of metabolic syndrome.

A. Cerebrovascular accident (CVA) B. Meningococcal meningitis C. Rocky Mountain spotted fever D. Intracerebral hemorrhage

Correct Answer is B

Explanation

Choice A reason: A CVA typically does not present with fever and rash.
Choice B reason: This is the correct choice. The symptoms described are classic for meningococcal meningitis, a bacterial infection of the membranes covering the brain and spinal cord.
Choice C reason: Rocky Mountain spotted fever presents with a rash but not typically with nuchal rigidity.
Choice D reason: Intracerebral hemorrhage may cause a severe headache but would not typically present with fever or a petechial rash.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What is the priority nursing assessment for the nurse to perform after administering vaccines?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse prepares a teaching plan for an adult patient with metabolic syndrome. Which findings should the nurse address to help the patient reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)

Correct Answer is ["B","D","E","F"]

Explanation

A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?

Correct Answer is B

Explanation

An infant has been admitted to the Neonatal Intensive Care Unit (NICU) with congenital gastroschisis. Which intervention should the nurse perform first upon admission to the unit?

The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?

A parent asks the nurse if there is anything that can be done to reduce the pain that his 2-year-old experiences each morning when blood is drawn for lab studies. Which intervention is the best choice for the nurse to implement based on the parent's concern?

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Which condition should the nurse suspect in a 6-year-old patient in external traction for a femur fracture who has pain and edema of the thigh and is febrile?

A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?