Moderate

A child develops difficulty breathing, facial swelling and widespread urticaria shortly after receiving a vaccine. What is the nurse’s priority action?

Correct answer: C. Assess the airway and provide emergency treatment

  • A. Document the event and discharge the child
  • B. Give oral fluids and observe for one hour
  • C. Assess the airway and provide emergency treatment
  • D. Apply a cold compress to the injection site

Explanation

Airway and breathing take priority because the findings suggest anaphylaxis, a serious adverse event following immunisation. The nurse should call for emergency support, assess airway and breathing, and administer the recommended emergency treatment according to protocol.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Immunisation and EPI

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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