A client who believes he has a peanut allergy presents at the emergency department concerned about the possibility that he has ingested a small amount of commercially prepared food that may have contained peanut oil
The nurse best addresses the client's risk for injury by asking: 1. "Have you ever experienced an allergic reaction to peanuts before?"
2. "What makes you think you are allergic to peanuts?"
3. "Have you every undergone testing for a peanut allergy?"
4. "Did you self-administer epinephrine?"
"Have you ever experienced an allergic reaction to peanuts before?"
Rationale: The priority is to determine whether the client is allergic to peanuts and at risk for injury in the form of an allergic reaction. Confirming a past reaction to ingestion of peanuts is the best way to determine that possibility for this client at this particular time. Asking why the client believes he is allergic or whether he has undergone allergy testing may result in the needed information, but does not directly address the information needed. Self-administration of epinephrine is directed more toward management of a reaction than confirming the possibility of a reaction.
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