ATI PN Paediatrics Nursing Proctored Exam 2023
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago.Which of the following findings reported by the parent is the nurse's priority?
Explanation & Rationale
Choice A rationaleA temperature of 100.7 degrees Fahrenheit is a low-grade fever and not an immediate priority compared to other more serious symptoms that might be indicative of a severe allergic reaction.Choice B rationaleWhile a reduced appetite may be concerning, it is not an immediate priority compared to symptoms of a potential allergic reaction such as swelling.Choice C rationalePain at the injection site is a common and expected reaction after immunizations. It does not indicate a severe or life-threatening condition.Choice D rationaleSwelling around the eyelids and mouth can be a sign of a severe allergic reaction or anaphylaxis. This requires immediate medical attention, making it the nurse's priority.
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