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.

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Correct Answer is C

Explanation

Choice A reason: While apple or orange juice contains vitamin C, which can aid iron absorption, it is not sufficient on its own to address anemia.

Choice B reason: Excessive cow's milk can interfere with iron absorption and is not recommended for a child with anemia.

Choice C reason: This is the correct choice. Meats, eggs, and green vegetables are rich in iron, which is essential for treating anemia.

Choice D reason: Fruits, whole grains, and rice are healthy but are not the best sources of iron for addressing anemia in a child.

A. Urinary tract infection. B. Emotional trauma. C. Sexual abuse. D. Structural defect of the urinary tract.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. A urinary tract infection is a common cause of urinary incontinence in children and should be evaluated first.
Choice B reason: While emotional trauma can cause changes in behavior, including incontinence, it is not the first complication to be evaluated in this scenario.
Choice C reason: Sexual abuse can result in behavioral changes, but there is no immediate indication of this being the cause without further assessment.
Choice D reason: A structural defect of the urinary tract could cause incontinence, but it is less likely to be the cause of a sudden onset of symptoms compared to a urinary tract infection.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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