A 22-year-old man presents to the emergency department after being stung by a bee. He is short of breath, wheezing and has a large local reaction where he has been stung. The doctor informs the patient that he is allergic to bee stings
What is the most important educational intervention the nurse should implement?
A) The patient should be instructed to take Benadryl before cutting the grass.
B) The patient should be instructed to use an epinephrine pen if he has a bee sting.
C) The patient should be instructed to go to the emergency room immediately after a sting.
D) The patient should be instructed to use an albuterol inhaler if he is stung.
Ans: B
Feedback: The patient should be instructed on the use epinephrine in the event of a bee sting. If avoidance of exposure of allergens is impossible, patient should be instructed to carry and administer epinephrine to prevent an anaphylactic reaction in the event of exposure to the allergen. If the patient is stung and uses his epinephrine, he should then go to the emergency room, but he should not go without having taken his epinephrine. The use of Benadryl and albuterol would be ineffective in the event of anaphylaxis.
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