In assessing a client with allergic rhinitis and in teaching the caregivers, the nurse will keep in mind that perennial allergic rhinitis is most often related to sensitivity to which of the following allergens?
a. food substances such as nuts, shellfish, and hot peppers
b. outdoor allergens such as tree, grass, and weed pollen
c. animals such as cats, dog, birds, lizards, and monkeys
d. indoor allergens such as dust mites and mold
D
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A Incorrect. Perennial allergic rhinitis is not most often related to sensitivity to food substances such as nuts, shellfish, and hot peppers.
B Incorrect. Perennial allergic rhinitis is not most often related to sensitivity to outdoor allergens such as tree, grass, and weed pollen.
C Incorrect. Perennial allergic rhinitis is not most often related to sensitivity to animals such as cats, dog, birds, lizards, and monkeys.
D Correct. Perennial allergic rhinitis is most often related to sensitivity to indoor allergens such as dust mites and mold.
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A client receiving a blood transfusion develops anxiety and low back pain. After stopping the transfusion, what action by the nurse is most important?
a. Documenting the events in the client's medical record b. Double-checking the client and blood product identification c. Placing the client on strict bedrest until the pain subsides d. Reviewing the client's medical record for known allergies
After questioning a pregnant woman about her fluid intake, the nurse discovers that the patient is drinking four glasses of diet cola per day. Which response by the nurse is best?
A. "As long as you get enough fluid, soda is all right to drink." B. "Less than two cups of caffeine a day is probably OK." C. "The major worry with soda is the sugar content." D. "You really should switch to decaffeinated colas."
The surgeon orders hourly urine output measurement for a patient after abdominal surgery. The patient's urine output has been greater than 60 ml/hour for the past 2 hours. Suddenly the patient's urine output drops to almost nothing. What should the nurse
do first? 1) Irrigate the catheter with 30 ml of sterile solution. 2) Replace the patient's indwelling urinary catheter. 3) Infuse 500 ml of normal saline solution IV over 1 hour. 4) Notify the surgeon immediately.
The use of computers in health care is:
a. an appropriate substitute for critical thinking. b. nonthreatening. c. helpful for recording and providing in-formation. d. a substitute for patient-provider interac-tion.