The nurse receives a phone call from a clinic patient who experienced fever and slight dyspnea several hours after receiving the pneumococcus vaccine. What is the nurse's most appropriate action?
A) Instruct the patient to call 911.
B) Inform the patient that this is an expected response to vaccination.
C) Encourage the patient to take NSAIDs until symptoms are relieved.
D) Ensure that the adverse reaction is reported.
Ans: D
Feedback:
Nurses should ask adult vaccine recipients to provide information about any problems encountered after vaccination. As mandated by law, a Vaccine Adverse Event Reporting System (VAERS) form must be completed with the following information: type of vaccine received, timing of vaccination, onset of the adverse event, current illnesses or medication, history of adverse events after vaccination, and demographic information about the recipient. NSAIDs are not necessarily required and no evidence of distress warrants a call to 911. This is not an expected response to vaccination.
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