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
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.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: School-age children, typically between the ages of 6 and 12, begin to understand the finality of death. They can grasp that death is irreversible and permanent, affecting all living beings.
Choice B reason: Preschool-age children often perceive death as a temporary or reversible state. They may not fully comprehend its permanence until they are older.
Choice C reason: Toddlers are too young to understand complex concepts like the permanence of death. Their cognitive development at this stage is focused on more concrete and immediate experiences.
Choice D reason: By adolescence, individuals have a clear understanding of the permanence of death, but this awareness typically develops during the school-age years. Adolescents may explore more complex ideas about life and death, but the basic understanding of permanence is already established.
Correct Answer is D
Explanation
Choice A reason: While peer group acceptance is important, it is not the primary concern in this situation.
Choice B reason: Developing a sense of industry is part of Erikson's stages of psychosocial development but is not the primary nursing concern here.
Choice C reason: Whether the child can manage their own insulin and finger sticks is important, but safety is the primary concern.
Choice D reason: This is the correct choice. Ensuring the child's safety is paramount, as the school needs to be aware of the child's condition in case of a diabetes-related emergency.
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