A public health nurse is responsible for the administration of numerous immunizations. Which of the following guidelines regarding anaphylaxis should the nurse adhere to?
A) The patient should be observed for anaphylaxis for 1 minute after administration.
B) The patient should be observed for anaphylaxis for 5 minutes after administration.
C) The patient should be observed for anaphylaxis for 30 minutes after administration.
D) The patient should be observed for anaphylaxis for 90 minutes after administration.
C
Feedback:
The nurse should observe for allergic reactions, which usually occur within 30 minutes. The patient should be observed longer than 1 or 5 minutes, and it is not necessary to observe for longer than 30 minutes.
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