A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patient's chest
The nurse should ask what priority question regarding the presence of a reddened rash?
A) "Is the rash worse at a particular time or season?"
B) "Are you allergic to any foods or medication?"
C) "Are you having any loss of sensation in that area?"
D) "Is your rash painful?"
Ans: B
Feedback:
The nurse should suspect an allergic reaction to the antibiotic therapy. Allergies can be a significant threat to the patient's immediate health, thus questions addressing this possibility would be prioritized over those addressing sensation. Asking about previous rashes is important, but this should likely be framed in the context of an allergy assessment.
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