After her child receives a vaccination, the mother calls the clinic to report the child's reaction to the immunization. The nurse will recommend the mother call 911 when the mother reports:
1. A few hives are noted around the injection site.
2. The child is running a slight temperature.
3. The child has swelling of the face.
4. Fever and joint pains occurring within hours of the vaccination.
3
Rationale 1: This is a mild allergic reaction and does not require calling 911.
Rationale 2: A slight temperature does not require calling 911.
Rationale 3: This could be the onset of anaphylaxis, and immediate response is essential to the survival of the child. The mother should call 911.
Rationale 4: This is a common reaction to immunizations and does not indicate anaphylaxis.
Global Rationale:
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