Difficulty: Medium
Average Score: 83%
Simulated
A nurse is assessing a client who received the measles, mumps, and rubella virus vaccine. Which of the following findings indicates an adverse reaction to the vaccination?
Correct answer
B
Rationale
The correct answer is B: Petechiae. Petechiae are small red or purple spots on the skin caused by bleeding under the skin. This can indicate a potential adverse reaction to the vaccine, such as a bleeding disorder. The other choices, bradycardia, tinnitus, and blurred vision, are not commonly associated with adverse reactions to the measles, mumps, and rubella vaccine. Bradycardia is a slow heart rate, tinnitus is ringing in the ears, and blurred vision may have other causes unrelated to the vaccination. Therefore, choice B is the most relevant and concerning finding in this scenario.