Which intervention is most important for the nurse to teach the client who is recovering from an allergic reaction to a bee sting?
a. How to use an EpiPen
b. Wearing a medical alert bracelet
c. Avoiding contact with the allergen
d. Keeping diphenhydramine (Benadryl) available
A
If an anaphylactic reaction starts, the client will need to self-medicate very rapidly with the Epi-Pen. He or she should carry it at all times and should be proficient in its assembly and use. This is the highest priority intervention. The client should get a medical alert bracelet and keep away from bees if at all possible. It is also advised that diphenhydramine be kept on hand in case of a less severe reaction.
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Which intervention would be appropriate for a patient with a nursing diagnosis of Ineffective coping as evidenced by manipulation of others?
a. Refer patient requests and questions about care to the primary nurse. b. Provide negative reinforcement for any acting-out behavior. c. Ignore rather than confront inappropriate interpersonal behavior. d. Encourage the patient to discuss feelings of fear and inferiority.
The nurse observes that when an 8-year-old boy enters the playroom, he often causes disruption by taking toys from other children. The nurse's best approach for this behavior is to
a. Ban the child from the playroom. b. Explain to the children in the playroom that he is very ill and should be allowed to have the toys. c. Approach the child in his room and ask, "Would you like it if the other children took your toys from you?" d. Approach the child in his room and state, "I am concerned that you are taking the other children's toys. It upsets them and me."
When the nurse in the well-baby clinic notes that a 2-day-old has small pustules on her skin, the nurse should:
a. Report it immediately to the clinic physician b. Keep the affected area dry and clean c. Teach the parents how to care for heat rash d. Record the finding so it can be assessed at the next appointment
The nurse preparing a Latino patient for a diagnostic procedure states, "After the cardiac catherization, you will need to be supine. We will also assess you for a thrombus." Which statement below is true?
a) The statements are appropriate to teach the patient about the procedure. b) The nurse is using healthcare jargon in her explanation to the patient. c) The nurse should use an interpreter to explain the procedure to the patient. d) The information will have to be repeated to a family member, when he/she arrives.