Mrs. T. has taken her daughter, 12-month-old Jamie, for a well-baby checkup. Jamie has been healthy overall and is due for the varicella virus vaccination. The nurse reviews the vaccination process with Mrs. T. and gives her information about what to expect after the vaccination. 1. Mrs. T. looks at the information sheet and then asks, “This is just one shot, right? After this, she’ll be immune to chickenpox. What a relief that will be!” What is the nurse’s best response? 2. The nurse reviews the information with Mrs. T. and tells her that a slight fever may develop. She asks Mrs. T. what she has at home to give to Jamie if a fever or discomfort at the injection site develops. Mrs. T. replies, “Oh, I have children’s aspirin.” What instructions will the nurse give regarding this? 3. The next morning, the skin around Jamie’s injection site is slightly swollen, red, and warm to the touch. Mrs. T. calls the office to “make sure everything is all right.” What further assessment questions will the nurse ask Mrs. T.? 4. Mrs. T.’s grandmother, who is 65 years of age, is visiting and tells Mrs. T., “Oh, I had that same vaccine 2 months ago! I don’t ever want to get shingles.” Is she correct? Did she receive the same vaccine that Jamie did?
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