The nurse is monitoring a patient with hemophilia who is receiving a factor VIII concentrate. During the assessment, the nurse notes that the patient has nasal congestion, and a red rash ap-pears on the chest. The nurse should prepare to administer
a. diphenhydramine (Benadryl).
b. human albumin.
c. epinephrine (Adrenaline).
d. norepinephrine.
A
Factor VIII concentrates can cause allergic reactions, which can range from mild to severe. Symptoms of a mild reaction include hives, rash, urticaria, stuffy nose, and fever. These can be managed with an antihistamine (eg, Benadryl).
Human albumin and norepinephrine are not indicated for allergic reactions.
Epinephrine is indicated for an anaphylactic reaction.
You might also like to view...
A patient tells the nurse that after eating some food that tasted "off" he experienced a severe stomachache. However, after a few hours the discomfort was gone and he felt fine. Which information should the nurse consider when formulating a response to this report?
1. Decreased production of mucous in the duodenum likely propelled the organism through the system in a few hours. 2. The duodenal pH of 4.0 killed the offending organism. 3. The acidic stomach environment likely killed any offending organisms in the ingested food. 4. Chyme blocked the offending organism from attaching to the walls of the GI tract.
A community mental health nurse is conducting a home visit when the patient states, "I never want to go back to that hospital again."
Which response has the greatest therapeutic value in terms of appropriate assurance for the patient's concerns? a. "It's likely that you won't need to go to the hospital again if you are compliant with the plan of care we have created for you.". b. "I can't promise that you will never need to go back to the hospital, but I will work to provide the care you need here in the community.". c. "Any inpatient hospitalization that you need in the future will be very brief now that you are receiving such effective home psychiatric care.". d. "Sometimes you will need to be re-hospitalized because of your mental health disorder, but I will work with you throughout your stay in the inpatient setting.".
Identify the appropriate information that must be given to a patient about the use of antiseptics and disinfectants.
A. Antiseptics and disinfectants may contain ethyl alcohol or isopropyl alcohol, which are poisonous if they are ingested. B. Chlorhexidine can be used as an oral rinse, but it should not be ingested. C. The aldehydes are never used as antiseptics because of the potential damage to human tissue at any concentration. D. All of these are correct.
The nurse notes that a patient is not able to voluntary move the right arm. Which part of the brain should the nurse suspect is affected in this patient?
a. Cerebellum b. Frontal lobe c. Parietal lobe d. Hypothalamus