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 C
Explanation
A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation
B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration
C-Use of 2 identifiers ensures right client which is part of the rights of medication administration
D-Documenting full names is important for record-keeping but not part of the rights of medication administration
Correct Answer is D
Explanation
D-an angiotensin converting enzyme inhibitor that is used in conditions such as heart failure, hypertension and chronic kidney disease. In rare occasions, captopril can cause excessive lowe
A- Potassium supplements and potassium sparing diuretics should be avoided
B- Captopril is used in blood pressure control with no significant effect on pulse rate.
C-ACEIs have no significant changes in sodium levels in the body
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