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).
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.
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