Moderate

A child becomes pale and briefly faints immediately after an injection but is breathing normally. What is the priority nursing action?

Correct answer: A. Place the child supine and assess airway and breathing

  • A. Place the child supine and assess airway and breathing
  • B. Give intramuscular adrenaline immediately
  • C. Give an oral antipyretic and send the child home
  • D. Repeat the vaccine after the child regains consciousness

Explanation

The priority is to prevent injury, position the child safely, and assess airway, breathing and circulation. Fainting is commonly managed with observation and supportive care, whereas adrenaline is reserved for suspected anaphylaxis.

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Immunisation covers active and passive immunity, vaccine types, routine childhood schedules under Pakistan’s Expanded Programme on Immunization, administration routes and age-based timing. It also includes cold-chain maintenance, contraindications, adverse events following immunisation, missed doses and the distinction between vaccine protection and treatment of an established infection.

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