Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

1. "If it happens again, I will teach you what to do."
2. "You should have an antihistamine like Benadryl with you at all times."
3. "We can start a desensitization process to take the allergy away."
4. "I will teach you how to use an EpiPen."


Correct Answer: 4
Rationale: An EpiPen is the appropriate treatment if this reaction occurs again. Benadryl is fine, but most likely is not strong enough in light of the serious reaction the child had. Desensitization is not the appropriate instruction at this time. Telling the parents that they will be taught if it happens again is brushing off the seriousness of the situation.

Nursing

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