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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.

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