Author Question: The nurse is teaching a class on immunizations for women with newborn infants. The nurse evaluates ... (Read 75 times)

torybrooks · **on:** Jul 23, 2018

The nurse is teaching a class on immunizations for women with newborn infants. The nurse evaluates that learning has occurred when the women make which statements?

1. The immunizations are more effective if they are given closer together.
2. Our babies might have a mild fever and be fussy for a few days.
3. If our babies develop a fever, we must call the doctor immediately.
4. We can give acetaminophen (Tylenol) if our babies have a mild fever.
5. If our babies develop a mild fever, it means an allergic reaction.

Question 2

A mother brings her child to the clinic for his last diphtheria-pertussis-tetanus (DPT) immunization. The mother tells the nurse that the child developed a red rash after the previous diphtheria-pertussis-tetanus (DPT) immunization.

What does the best action by the nurse include?
1. Administer only a pertussis-tetanus immunization.
2. Withhold this immunization and contact the physician.
3. Tell the mother to give the child acetaminophen (Tylenol) if another rash develops.
4. Administer diphenhydramine (Benadryl) prior to the diphtheria-pertussis-tetanus (DPT) immunization.

janeli1 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2,4
Rationale 1: The recommended immunization schedule should be followed. There is no benefit to giving the immunizations closer together.
Rationale 2: A mild fever is a typical reaction to immunizations.
Rationale 3: The physician does not need to be called unless the fever is high.
Rationale 4: Acetaminophen (Tylenol) is indicted for relief of mild symptoms.
Rationale 5: A mild fever does not indicate an allergic reaction to the immunization.

Answer to Question 2

Correct Answer: 2
Rationale 1: There is no such immunization as pertussis-tetanus.
Rationale 2: This red rash is unexpected and could indicate a potential adverse reaction to the vaccine such as anaphylaxis, so the nurse should withhold the immunization and contact the physician.
Rationale 3: The nurse should not tell the mother to administer acetaminophen (Tylenol); this will not prevent anaphylaxis.
Rationale 4: The nurse cannot administer diphenhydramine (Benadryl) without a physician's order.