The nurse administers immunizations to the toddler, and instructs the mother to:
1. Wait in the waiting area for 30 minutes before leaving.
2. Apply ice to the injection site if discomfort occurs.
3. Limit activity of the extremity where the immunization was injected.
4. Observe for allergic reaction over the next 4-6 hours.
1
Rationale: The nurse should have the clients remain in the facility for 20-30 minutes after administering an immunization in case of a severe anaphylactic reaction to the medication. Other instructions to the mother might include application of warm compresses to an injection site that becomes red or edematous, maintaining activity of the extremity to improve absorption of the medication, and observing for signs of an allergic reaction within 24 hours of immunization.
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