NCLEX-PN

Category - Health Promotion

The mother of a 6-month-old infant informs the nurse that after the administration of the last dose of hepatitis B vaccine, the child developed redness and swelling at the site of the injection site. Which of the following interventions is the most effective in relieving these side effects after the administration of the vaccine?
  1. Application of warm compress during the first 24 hours
  2. Application of cold compress during the first 24 hours
  3. Administration of the vaccine into the vastus lateralis
  4. Use of a 1 inch needle in injecting the vaccine
Explanation
Answer: B - Application of cold compress to the injection site during the first 24 hours and warm compress 72 hours after the administration can relieve the redness and swelling.
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