Page 1643 - Saunders Comprehensive Review For NCLEX-RN

years or adults 50 years or older;
pregnant women; children or
adolescents on long-term aspirin
therapy; and those with severe nasal
congestion or long-term conditions
such as asthma; diabetes mellitus;
anemia or blood disorders; or heart,
kidney, or lung disease.
4. Side and adverse effects
a. Inactivated vaccine: Localized pain and
swelling at the injection site, general
body aches and pains, malaise, fever
b. Attenuated vaccine: Runny nose or
nasal congestion, cough, headache,
sore throat
5. Interventions
a. The intramuscular route is
recommended for the inactivated
vaccine; adults and older children
should be vaccinated in the deltoid
muscle.
b. Monitor for side and adverse effects of
the vaccine.
c. Monitor for hypersensitivity reactions
in clients receiving vaccination for the
first time.
6. Client education
a. About the importance of an annual
vaccination
b. That the inactivated vaccine contains
noninfectious, killed viruses and
cannot cause influenza
c. That any respiratory disease unrelated
to influenza can occur after the
vaccination
d. That if the attenuated vaccine is
received, the virus may be shed in
secretions up to 2 days after
vaccination
e. That development of antibodies in
adults takes approximately 2 weeks
7. Visit the Centers for Disease Control and Prevention
for updates
(http://www.cdc.gov/flu/protect/vaccine/index.htm).
C. Antiviral medications (Table 51-1)
1. Description
a. Use during outbreaks of influenza
depends on the current strain of

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