Author Question: After receiving a first-time dose of the inactivated influenza vaccine, an adult patient telephones ... (Read 59 times)

Zoey63294 · **on:** Jul 23, 2018

After receiving a first-time dose of the inactivated influenza vaccine, an adult patient telephones the nurse and complains of lethargy and a fever of 101 F that has lasted for 6 hours. Select the nurse's best action.

a. Advise the patient to take acetaminophen and rest.
b. Instruct the patient to return to the clinic immediately.
c. Inform the patient that an allergic reaction is occurring.
d. Notify the Centers for Disease Control and Prevention (CDC).

Question 2

The nurse is caring for a patient who is scheduled to receive a dose of ganciclovir (Cytovene). Prior to administration of the medication, the nurse reviews the patient's laboratory test results.

Which finding would cause the nurse to withhold the medication?
a. Absolute neutrophil count of 450/mm3
b. Platelet count of 47,000/mm3
c. Total white blood cell count (WBC) of 900/mm3
d. Absolute lymphocyte count of 500/mm3

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

Answer to Question 1

ANS: A
People who have not been vaccinated previously may experience fever, myalgia, and malaise lasting 1 to 2 days. The nurse should advise the patient to rest and take acetaminophen for the fever.
Nothing indicates that an adverse effect is occurring, therefore the patient need not return to the clinic.
These are not symptoms of an allergic response but an expected response.
There is no need to notify the CDC.

Answer to Question 2

ANS: A
Treatment should be interrupted if the absolute neutrophil count falls below 500/mm3 or if the platelet count falls below 25, 000/mm3.
Treatment need not be interrupted for a platelet count of 47, 000/mm3, a WBC of 900/mm3, or a lymphocyte count of 500/mm3.