An adult female client is beginning her series of hepatitis B immunizations. What does the best teaching by the nurse include?
1. "Contact your physician if you develop pain at the injection site, mild fever, or soreness."
2. "Practice reliable birth control for 3 months after the administration of the vaccinations."
3. "Immediately report any signs of bleeding such as hematuria, or bleeding from the gums."
4. "Avoid crowded areas where you might be exposed to an infectious disease."
2
Rationale 1: It is not necessary to contact the physician if pain develops at the injection site or if the client develops a mild fever or soreness. These are expected effects.
Rationale 2: The client should practice reliable birth control for 3 months after the administration of the vaccines to prevent harm to a developing fetus.
Rationale 3: Bleeding is not associated with hepatitis B immunizations.
Rationale 4: It is not necessary to avoid crowded areas following a hepatitis B immunization.
Global Rationale: The client should practice reliable birth control for 3 months after the administration of the vaccines to prevent harm to a developing fetus. It is not necessary to contact the physician if pain develops at the injection site or if the client develops a mild fever or soreness. These are expected effects. Bleeding is not associated with hepatitis B immunizations. It is not necessary to avoid crowded areas following a hepatitis B immunization.
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