A nurse has just administered an immunization injection to a 2-month-old infant. What instructions should the nurse give the parent if the infant has a reaction?
a. Give aspirin for pain; if swelling at the injection site develops, call the health care provider.
b. Apply heat to the injection site for the first day after the injection; apply ice if the arm is inflamed.
c. Give acetaminophen for fever; call the health care provider if the child exhibits marked drowsiness or seizures.
d. Apply ice to the injection site if soreness develops; call the health care provider if the child comes down with a fever
Answer: c. Give acetaminophen for fever; call the health care provider if the child exhibits marked drowsiness or seizures.
Fever is a common reaction to immunizations, and acetaminophen may be given to minimize discomfort. A central nervous system reaction is rare and requires notification of the health care provider. Aspirin should not be given to infants and children because it is linked to Reye syndrome. Infants do not tolerate the application of ice, which will increase discomfort. Fever is a common reaction to the immunizations; it is not necessary to notify the health care provider.
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