NCLEX-PN

Category - Health Promotion

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A female client visits the health center to receive a rubella vaccine. Before giving the vaccine, the nurse should instruct the client to:

Use contraceptives for the next 3 months
Come back to the center 72 hours later to monitor the injection site
Avoid eggs
Monitor for signs of encephalopathy

Explanation

Answer: A - The nurse should advise the client not to become pregnant for 3 months. Getting pregnant immediately after the immunization may cause mental and motor challenges, deafness, and cardiac defects to the fetus. The other options are not appropriate.

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