A patient with a history of latex allergy has developed itching and hives after being admitted for a fractured left femur. What initial nursing action is indicated?
1. Survey the patient's room for possible latex-containing items.
2. Ask if the patient is experiencing any difficulty breathing.
3. Alert the patient's health care provider concerning the symptoms.
4. Collect a detailed history from the patient regarding the allergy.
2
Rationale 1: Attempting to locate latex-containing items is not the nurse's priority.
Rationale 2: A history of latex allergy in combination with the patient's symptoms would alert the nurse to the possibility of an allergic reaction. Such reactions can result in respiratory distress, so assessment of the airway is the nursing priority.
Rationale 3: The health care provider should be alerted, but this is not the nurse's immediate priority.
Rationale 4: Conducting a nursing history is not the immediate priority.
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