While obtaining a client's health history, the client states, "I am allergic to avocados." Which responses by the nurse are best? (Select all that apply.)
a. "What response do you have when you eat avocados?"
b. "I will remove any avocados that are on your lunch tray."
c. "When was the last time you ate foods containing avocados?"
d. "I will document this in your record so all of your providers will know."
e. "Have you ever been treated for this allergic reaction?"
ANS: A, D, E
Nurses should assess clients who have allergies for the specific cause, treatment, and response to treatment. The nurse should also document the allergies in a prominent place in the client's medical record. The nurse should collaborate with food services to ensure no avocados are placed on the client's meal trays. Asking about the last time the client ate avocados does not provide any pertinent information for the client's plan of care.
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