The nurse collects the past medical history of a patient new to the clinic. The patient states he or she is allergic to penicillin. What would the nurse question next? (Select all that apply.)
A) What signs and symptoms were displayed with the reaction?
B) What treatment was required to control the allergic reaction?
C) How was the medication administered?
D) How many dosages were administered before the reaction occurred?
E) Had the medication ever been prescribed before the time when the reaction occurred?
A, D, E
Feedback:
It is important to determine what the allergic reaction was and when the patient experienced it (e.g., after first use of drug, after years of use). If she had been prescribed this medication before with no reaction and then had a reaction the next time it was prescribed, this would be important information to know. Some patients report having a drug allergy, but closer investigation indicates that their reaction actually constituted an anticipated effect or a known adverse effect to the drug. It would not necessarily be important to find out what was done to stop the reaction or who the caregiver was at the time of the reaction or what type of allergic reaction it was.
You might also like to view...
Which hearing assessment is the nurse performing in this image?
1. Rinne test 2. Tympanogram 3. Schwabach test 4. Weber test
The nurse is caring for a client who has had a stroke. Since the stroke, the client has trouble saying words correctly and his speech seems slurred. The nurse documents this speech pattern as:
A) dysarthria. B) anomic aphasia. C) dysphasia. D) expressive aphasia.
Which statement by the nurse best describes effective team communication?
A) "Team communication requires individual commitment." B) "Worldviews and values are similar among team members." C) "Team communication is a complex social process." D) "Effective communication is indirect and broad in scope."
A patient with chronic schizophrenia had a stroke involving the hippocampus. The patient will be discharged on low doses of haloperidol. The nurse will need to individualize the patient's medication teaching by:
a. Including the patient's caregiver in the education b. Being careful to stress the importance of taking the medication as prescribed c. Providing the education at a time when the patient is emotionally calm and re-laxed d. Encouraging the patient to crush or dissolve the medication to help with swal-lowing