What is a priority outcome when a patient receives dextran 40 (Gentran 40)?
1. The patient will immediately report any ototoxicity.
2. The patient will immediately report any diarrhea.
3. The patient will immediately report any hiccoughs.
4. The patient will immediately report any itching or flushing.
Correct Answer: 4
Rationale: A small percentage of patients are allergic to dextran 40 (Gentran 40), with urticaria being the most common sign. The most important outcome is for the patient to report any allergic symptoms. Diarrhea is not a sign of an allergic reaction so is not the priority. Ototoxicity is not a sign of an allergic reaction so is not the priority. Hiccoughs are not a sign of an allergic reaction so are not the priority.
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