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The nurse administers an immunization to an adult client. Which observation made after the injection causes the nurse to immediately intervene? (Select all that apply.) 1. The client is clearing the throat and coughing. 2. The client has nasal drainage and sneezing. 3. The client is anxious and exhibits rapid breathing. 4. The client is feverish and sweating profusely. 5. The client reports dizziness upon standing. 6. The client has a diffuse rash across the trunk.
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