While completing an admission database, the nurse is interviewing a patient who states that he is allergic to latex. The most appropriate nursing action is to first
a. Leave the room and place the patient in isolation.
b. Ask the patient to describe the type of reaction.
c. Proceed to the termination phase of the interview.
d. Document the latex allergy on the medication administration record.
B
The nurse should further assess and ask the patient to describe the type of reaction. The patient will not need to be placed in isolation; before terminating the interview or documenting the allergy, health care personnel need to be aware of what type of response the patient suffered.
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A child is diagnosed with stage IV neuroblastoma and has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?
A) Risk for infection related to chemotherapy B) Impaired skin integrity related to abdominal surgery C) Grieving related to advanced disease and poor prognosis D) Imbalanced nutrition related to adverse effects of chemotherapy
Reed's theory and scale allow us to catalog all instances of human self-transcendence
Indicate whether this statement is true or false.
A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia 2. Hypernatremia 3. Hypercalcemia 4. Hypoglycemia
The school nurse teaching a class of fourth graders about bicycle safety includes the recommendations of:
a. Using additional caution while riding with a device that uses earphones b. Wearing reflective clothing when riding at night c. Wearing a helmet when riding on pavement d. Avoiding clothing that could be caught in the chain