Six hours after a baby has received routine immunizations, the child's mother telephones the doctor because the child's temperature is 101 degrees, he is fussy, and he is pulling at the injection site. What should the nurse respond to this mother?
A) "You need to bring the baby to the emergency department to be sure he is not having an allergic reaction."
B) "All babies have similar reactions but you should call back if he is still fussy in 24 hours."
C) "This is a common reaction. Give your child acetaminophen, cuddle him, and apply a cool compress to the injection site."
D) "You can give your child ice cold fluids and cover the injection site so that he doesn't scratch the site and get it infected."
Ans: C
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