Question

question 12
1 pts
the parent of newborn is concerned about vaccine side effects. what education can the nurse practitioner provide? (select all that apply.)
systemic reactions occur between 3 and 21 days after the vaccine
local reactions occur in about 20% of vaccine doses given
fever is the most common adverse reaction
severe allergic reactions are very rare
arthus reactions, which are more severe, are more common with mmr and varicella vaccines

Explanation:

To determine correct options:

1. Systemic reactions: MMR - related systemic reactions (like rash) occur 7 - 14 days post - vaccine, not 3 - 21 for all vaccines. So this is incorrect.
2. Local reactions: ~20% of vaccine doses have local reactions (redness, swelling at injection site) – correct.
3. Fever: Fever is a common adverse reaction to vaccines – correct.
4. Severe allergic reactions: Anaphylaxis - type severe reactions are extremely rare (1 per million doses approx.) – correct.
5. Arthus reactions: These are rare, immune - complex mediated, and not more common with MMR/varicella (more with repeat tetanus, for example) – incorrect.

Answer:

• Local reactions occur in about 20% of vaccine doses given
• Fever is the most common adverse reaction
• Severe allergic reactions are very rare