Which serious reaction should the nurse be alert for when administering vaccines?
a. Fever
b. Skin irritation
c. Allergic reaction
d. Pain at injection site
ANS: C
Each vaccine administration carries the risk of an allergic reaction. The nurse must be prepared to intervene if the child demonstrates signs of a severe reaction. Mild febrile reactions do occur after administration. The nurse includes management of fever in the parent teaching. Local skin irritation may occur at the injection site after administration. Parents are informed that this is expected. The injection can be painful. The nurse can minimize the discomfort with topical analgesics and nonpharmacologic measures.
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