After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.

Choice B rationale

Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptom.

Choice C rationale

Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to start treatment with permethrin would not be appropriate based on the information given.

Choice D rationale

Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.

Answer and explanation The correct answer is D. Choice A rationale

While informing citizens about the importance of immunization is a good step, it may not be the most effective initial action. It’s important to first understand the extent of the problem and the specific areas where immunization rates are low.

Choice B rationale

Partnering with a local hospital to set up free immunization clinics is a great initiative. However, without first understanding the specific areas of low immunization and the reasons behind it, this effort might not be targeted effectively.

Choice C rationale

Joining a political action group could help bring attention to the issue, but it might not directly address the problem. The nurse first needs to understand the current situation and the areas of the city where the immunization rates are particularly low.

Choice D rationale

Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.