A patient who believes he has a peanut allergy presents at the emergency department concerned because he has ingested a small amount of commercially prepared food that may have contained peanut oil
Which nursing question best addresses the patient's risk for injury? 1. "Did you self-administer epinephrine?"
2. "What makes you think you are allergic to peanuts?"
3. "Have you every undergone testing for a peanut allergy?"
4. "Have you ever experienced an allergic reaction to peanuts before?"
4
Rationale 1: Self-administration of epinephrine is directed more toward management of a reaction than confirming the possibility of a reaction.
Rationale 2: This question will elicit important information, but it is not the first question the nurse should ask.
Rationale 3: The nurse should ask about testing, but this is not the priority question.
Rationale 4: The priority is to determine whether the patient is allergic to peanuts and at risk for injury in the form of an allergic reaction. Confirming a past reaction to the ingestion of peanuts is the best way to determine that possibility at this time.
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