A Nurse Is Interviewing a Male Patient Who Reports He

question 12

Multiple Choice

A nurse is interviewing a male patient who reports he has not had a tetanus immunization in about 15 years because he had a "bad reaction" to the last tetanus immunization. What is the most appropriate response by the nurse in this case?

• A) Notify the health care provider that this immunization cannot be given.
• B) Document that the patient is allergic to the tetanus vaccine.
• C) Give the vaccine after explaining that adverse reactions are rare.
• D) Ask the patient to describe the "bad reaction" to the vaccine in more detail.