A young mother calls the pediatric triage nurse because she is worried about her 4-month-old daughter. Her daughter had immunizations administered yesterday. The infant is not eating and is more irritable than usual

The nurse verifies that the infant had a DTaP immunization. The nurse knows that these signs and symptoms are: 1. A medical emergency. The mother should bring the infant to an emergency room to make sure that the child is not having an allergic reaction.
2. A normal reaction and will subside in a day or two.
3. Abnormal, and the mother should follow up with the doctor in two days.
4. Only occurring because the child has not been given Tylenol for the pain at the injection site.


2
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1. This is not a medical emergency. This is one of the side effects of the vaccine
2. This is a normal response to the vaccine.
3. This is normal and is one of the side effects of the vaccine.
4. The question does not assess what pain management has been done.

Nursing

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