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Title: patient who received a vaccination two weeks prior returns to the clinic with a Post by: colleen on Jan 12, 2013 patient who received a vaccination two weeks prior returns to the clinic with a wound at the inoculation site. The nurse realizes that this patient is
1. experiencing a severe local reaction to the inoculation. 2. allergic to the inoculation. 3. scratching the inoculation site. 4. demonstrating signs of the disease that the inoculation was intended to prevent. Title: Re: patient who received a vaccination two weeks prior returns to the clinic with a Post by: auxcieux on Jan 12, 2013 1. Demonstrating a severe local reaction to the inoculation.
This would be my initial thought. If the patient says the wound feels itchy, then it's likely that he/she is scratching it, which would impede healing. I'm relatively sure that an allergic reaction to an immunization would be systemic in nature, and such a reaction would occur shortly after exposure to the allergen. The question is a bit vague, so it's tricky. There are many unknowns--as is the case in practice--but the most plausible explanation for the scenario with the information given is a moderate to severe injection site reaction. |