A nurse is assessing a client who received the measles, mumps, and rubella virus vaccine. Which of the following findings indicates an adverse reaction to the vaccination?
Bradycardia
Petechiae
Tinnitus
Blurred vision
The Correct Answer is B
MMR vaccine can cause bleeding under the skin presenting as petechiae. Petechiae are small red or purple spots caused by bleeding into the skin.
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A,C,D- MMR vaccine is not associated with bradycardia, tinnitus or blurred vision
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Both sildenafil and nitroglycerin are vasodilators and can lead to severe hypotension when used together. Sildenafil acts by inhibiting phosphodiesterase 5 (PDE 5), an enzyme that breaks down cGMP, which regulates blood flow in the penis. The medication also results in the dilation of blood vessels in the lungs, which is beneficial for treating pulmonary arterial hypertension.
B, C, D- No interactions with nitroglycerin
Correct Answer is C
Explanation
Furosemide and amikacin. Furosemide and aminoglycosides are ototoxic and can cause hearing loss. The nurse should monitor for any signs of hearing disturbances such as tinnitus. The other drugs listed in the options have no effect on hearing.
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